ROD-MAR-12

Code
ROD-MAR-12
Mercy ID
V-02066-01
Encounter Date
10/19/2005
Last
Rodrigues
First
Maria de lourdes
DOB
12/24/1973
County
Dekalb
Street
3600 Shallowford Rd. C-3
City
Doraville
State
GA
Zip
30341-
Cell
(678) 365-7326
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school
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
Another women has the same code, so I used this women's birth month as the last 2 digits of the code.
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
G. Landeros
Data Entry
R. Gonzalez