Pancho - ROD-JUA-76

Code: ROD-JUA-76
Mercy ID: V-00691-01
Encounter Date: 09/14/2001
Last: Rodriguez
First: Juana
DOB: 09/13/1976
County: Dekalb
Street: 1261 Cross Keys Apt. -6
City: Atlanta
State: GA

Zip

30319-

Home

(404) 467-4531

Family Status

Adult coupie-no children

COB

Nicaragua

Gender

Female

Housing

Doubling Up

Education Level

Grade 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
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: J. Perez
Data Entry: K. Aleman