Pancho - ROD-LOU-72

Code: ROD-LOU-72
Mercy ID: V-01984-01
Encounter Date: 08/09/2005
Last: Rodriguez
First: Louisa
DOB: 09/08/1972
County: Dekalb
Street: 2902 Alcoa Ct.
City: Chamblee
State: GA

Zip

30341-

Home

(678) 768-0609

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

High school graduate

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: No
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: G. Landeros
Data Entry: K. Aleman