Pancho - ROD-MAR-62

Code: ROD-MAR-62
Mercy ID: V-02945-01
Encounter Date: 11/17/2008
Last: Rodriguez
First: Maria del carmen
DOB: 12/25/1962
County: Dekalb
Street: 4254 English Oak Drive
City: Doraville
State: GA

Zip

30340-

Cell

(404) 734-1503

Family Status

Single parent w/children

COB

El Salvador

Gender

Female

Housing

Doubling Up

Education Level

Adult, no formal education

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
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

Intake: G. Landeros
Data Entry: C. Collier