Pancho - ROD-MIC-97

Code: ROD-MIC-97
Mercy ID: V-00611-41
Encounter Date: 07/18/2001
Last: Rodriguez
First: Michael
DOB: 08/24/1997
County: Gwinnett
Street: 2140 Glenn Park Ct.
City: Lawrenceville
State: GA

Zip

30044-

Home

(770) 277-0836

Family Status

Attached youth

COB

Dominican Rep

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Ana Rodriguez	05/01/1974	Dominican Rep
Father	Miguel Rodriguez	N/A	Dominican Rep
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Kinder Care
Grade: Pre-K
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: K. Aleman