NAV-ADR-69

Code
NAV-ADR-69
Mercy ID
V-03442-01
Encounter Date
02/21/2011
Last
Navarro
First
Adriana
DOB
10/09/1969
County
Fulton
Street
6490 White Mill Road
City
Fairburn
State
GA
Zip
30213-
Home
(770) 969-5790
Cell
(404) 771-2926
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
College Degree
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
J. Manzo