NAV-JOS-74

Code
NAV-JOS-74
Mercy ID
V-02125-02
Encounter Date
01/10/2006
Last
Navarrete valentin
First
Jose manuel
DOB
02/07/1974
County
Fulton
Street
2572 Lenox Rd Apt K9
City
Atlanta
State
GA
Zip
30324-
Home
(404) 813-7320
Cell
(404) 863-0360
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Grade school
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
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
R. Miranda
Data Entry
R. Gonzalez