MIL-ROS-76

Code
MIL-ROS-76
Mercy ID
V-01228-01
Encounter Date
05/16/2003
Last
Millan
First
Rosy
DOB
05/23/1976
County
Dekalb
Street
4430 Tilly Mill Rd. E-9
City
Doraville
State
GA
Zip
30360-
Home
(770) 317-8793
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school
Home Owner
YES

Parents Information

Name DOB COB
Mother N/A N/A N/A
Father N/A N/A N/A
Step Parent N/A N/A N/A
Driver
YES
Relative
No
Stranger
No
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Perez
Data Entry
K. Aleman