Pancho - ROD-SOC-82

Code: ROD-SOC-82
Mercy ID: V-00642-01
Encounter Date: 08/10/2001
Last: Rodriguez
First: Socorro
DOB: 10/18/1982
County: Dekalb
Street: WRC
City: Not given
State: GA

Zip

00000-0000

Home

(404) 681-2121

Family Status

Single adult

COB

Mexico

Gender

Female

Housing

Shelter

Education Level

Grade school

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
Lives With: N/A
Name of School: N/A
Grade: N/A
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: J. Manzo
Data Entry: K. Aleman