Pancho - NAV-CLA-69

Code: NAV-CLA-69
Mercy ID: V-02847-01
Encounter Date: 07/01/2008
Last: Navarro
First: Claudia
DOB: 10/08/1969
County: Barrow
Street: 1602 Madison Dr.
City: Bethlehem
State: GA

Zip

30620-

Home

(770) 586-5620

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Single Family

Education Level

High school graduate

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
Lives With: N/A
Name of School: N/A
Grade: N/A
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Perez
Data Entry: J. Manzo