LAM-ROS-57

Code
LAM-ROS-57
Mercy ID
V-00288-01
Encounter Date
09/20/2000
Last
Lamy
First
Rosario
DOB
10/27/1957
County
Gwinnett
Street
3183-D Terrace Ct.
City
Norcross
State
GA
Zip
30092-
Home
(678) 291-0380
Family Status
Single adult
COB
Honduras
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical
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
J. Manzo
Data Entry
D. Gomez