Pancho - ROD-MAR-70

Code: ROD-MAR-70
Mercy ID: V-01326-01
Encounter Date: 08/29/2003
Last: Rodriguez
First: Maria del pilar
DOB: 11/24/1970
County: Gwinnett
Street: 4575 Ahwather Ct.
City: Buford
State: GA

Zip

30518-

Home

(404) 519-7984

Family Status

Two parent family w/children

COB

Colombia

Gender

Female

Housing

Not Homeless

Education Level

College Degree

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