ROD-MAR-76
- Code
- ROD-MAR-76
- Mercy ID
- V-01569-01
- Encounter Date
- 04/08/2004
- Last
- Rodriguez
- First
- Martha
- DOB
- 12/22/1976
- County
- Gwinnett
- Street
- 651 Stonewall Court
- City
- Stone mountain
- State
- GA
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
NOTES
Entro al cell de Griselda. En el 2010.
Media
NO DOY PERMISO
- Intake
- G. Landeros
- Data Entry
- K. Aleman