Pancho - ROD-STE-96

Code: ROD-STE-96
Mercy ID: V-00611-31
Encounter Date: 07/18/2001
Last: Rodriguez
First: Stephanie
DOB: 06/28/1996
County: Gwinnett
Street: 2140 Glenn Park Ct.
City: Lawrenceville
State: GA

Zip

30044-

Home

(770) 277-0836

Family Status

Attached youth

COB

Dominican Rep

Gender

Female Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Ana Rodriguez	05/01/1974	Dominican Rep
Father	Miguel Rodriguez	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: La abuelita es Josefina Sanche
Grade: Kinder
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: K. Aleman
Data Entry: K. Aleman