Pancho - ROD-MAR-88

Code: ROD-MAR-88
Mercy ID: V-00145-14
Encounter Date: 04/26/2000
Last: Rodriguez
First: Marjorie
DOB: 02/09/1988
County: Cobb
Street: 1660 Squire Dr
City: Marietta
State: GA

Zip

30008-

Home

(770) 435-3155

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Ethel Keasler	07/31/1955	Guatemala
Father	Marco V Rodriguez	N/A	Other
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Garrett Middle S
Grade: 6th.
Who Can't Pickup the Child: only the mom can pick her up
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