Pancho - ROD-BRE-68

Code: ROD-BRE-68
Mercy ID: V-00812-01
Encounter Date: 01/22/2002
Last: Rodriguez
First: Brenda ali
DOB: 12/13/1968
County: Fulton
Street: 1206 Arbor gate
City: Atlanta
State: GA

Zip

30324-

Home

(404) 321-3211

Family Status

Adult coupie-no children

COB

Puerto Rico

Gender

Female

Housing

Not Homeless

Education Level

Post Grad Degree

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: YES
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. Perez
Data Entry: K. Aleman