ROD-ERI-78

Code
ROD-ERI-78
Mercy ID
V-02258-01
Encounter Date
05/26/2006
Last
Rodriguez
First
Erika
DOB
12/03/1978
County
Dekalb
Street
3610 Buford Hwy #B3
City
Atlanta
State
GA
Zip
30329-
Home
(404) 325-5021
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Preschool
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
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
G. Landeros
Data Entry
R. Gonzalez