Pancho - ROD-NEO-61

Code: ROD-NEO-61
Mercy ID: V-00135-02
Encounter Date: 02/21/2000
Last: Rodriguez
First: Neony
DOB: 07/25/1961
County: Dekalb
Street: 1287 South Ponce De Leon Ave
City: Atlanta
State: GA

Zip

30306-5862

Home

(404) 538-9036

Family Status

Single adult

COB

Colombia

Gender

Male

Housing

Not Homeless

Education Level

Some College

Home Owner

YES

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: R. Miranda
Data Entry: D. Gomez