ROD-MAR-77

Code
ROD-MAR-77
Mercy ID
V-00930-01
Encounter Date
05/20/2002
Last
Rodriguez
First
Maria eugenia
DOB
04/28/1977
County
Fulton
Street
2501 Holcombridge Rd.
City
Roswell
State
GA
Zip
30022-
Home
(678) 886-4730
Family Status
Single parent w/children
COB
Venezuela
Gender
Female
Housing
Doubling Up
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
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