NAV-ROS-67

Code
NAV-ROS-67
Mercy ID
V-01920-01
Encounter Date
06/08/2005
Last
Navarro
First
Rosa
DOB
12/30/1967
County
Gwinnett
Street
969 Lakeview Rd.
City
Grayson
State
GA
Zip
30017-
Home
(770) 736-9059
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Home Owner
No

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
No
Relative
No
Stranger
No
NOTES
aka Cobardo, Rosa
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
G. Landeros
Data Entry
K. Aleman