ROD-MAG-59

Code
ROD-MAG-59
Mercy ID
V-01454-01
Encounter Date
01/05/2004
Last
Rodriguez
First
Magda
DOB
09/13/1959
County
Cobb
Street
1003 Kennesborought Rd.
City
Kennesaw
State
GA
Zip
00000-0000
Home
(770) 792-6695
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Some College
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
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