GAL-ROS-73

Code
GAL-ROS-73
Mercy ID
V-02438-01
Encounter Date
03/13/2007
Last
Galan
First
Rosaura
DOB
09/03/1973
County
Fulton
Street
5501 Glenridge Dr. Apt. 905
City
Atlanta
State
GA
Zip
30342-
Cell
(404) 309-5419
Family Status
Single parent w/children
COB
Perú
Gender
Female
Housing
Single Family
Education Level
Some College
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
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