ROB-MAR-05

Code
ROB-MAR-05
Mercy ID
V-03083-11
Encounter Date
06/17/2009
Last
Roblero
First
Marcia
DOB
06/28/2005
County
Dekalb
Street
6750 Peachtree Ind. Blv. Apt. 611
City
Doraville
State
GA
Zip
30360-
Cell
(404) 553-4444
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Onelia Roblero 07/16/1978 Guatemala
Father Israel Rodriguez N/A Puerto Rico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
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
C. Martinez
Data Entry
J. Manzo