PEÑ-ROC-70

Code
PEÑ-ROC-70
Mercy ID
V-00510-01
Encounter Date
09/20/2002
Last
Peña
First
Rocio
DOB
10/28/1970
County
Dekalb
Street
3379 Aztec Rd. 5-C
City
Doraville
State
GA
Zip
30340-
Home
(770) 936-0212
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school
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
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
K. Aleman