Pancho - ROD-MIR-83

Code: ROD-MIR-83
Mercy ID: V-00145-12
Encounter Date: 04/26/2000
Last: Rodriguez
First: Mirna paola
DOB: 07/02/1983
County: Cobb
Street: 1660 Squire Dr
City: Marietta
State: GA

Zip

30008-

Home

(770) 435-3155

Family Status

Attached youth

COB

Guatemala

Gender

Female Child

Housing

Not Homeless

Education Level

some high school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Ethel Keasler	07/31/1955	Guatemala
Father	Marcos Rodriguez	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Souht Cobb H.S
Grade: 10th.
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: K. Aleman
Data Entry: D. Gomez