ROD-MAR-75

Code
ROD-MAR-75
Mercy ID
V-00440-01
Encounter Date
03/07/2001
Last
Rodriguez
First
Maribel
DOB
05/28/1975
County
Gwinnett
Street
P.O. Box 171
City
Decatur
State
GA
Zip
30331-
Home
(770) 322-1153
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Shelter
Education Level
some high school
Home Owner
No

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
YES
Relative
No
Stranger
No
NOTES
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
J. Perez
Data Entry
D. Gomez