Pancho - ROD-VAL-99

Code: ROD-VAL-99
Mercy ID: V-01214-11
Encounter Date: 07/09/2003
Last: Rodriguez
First: Valeria
DOB: 12/16/1999
County: Gwinnett
Street: 5458 Terrace Garden Way A
City: Norcross
State: GA

Zip

30071-

Home

(770) 559-3859

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Teresa Rodriguez	08/25/1970	Mexico
Father	Jose Angel Rodriguez	06/06/1973	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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: Y. Garcia
Data Entry: K. Aleman