ROD-GEO-73

Code
ROD-GEO-73
Mercy ID
V-02320-01
Encounter Date
09/05/2006
Last
Rodriguez
First
Georgina
DOB
06/27/1973
County
Douglass
Street
1192 Forstville
City
Conyers
State
GA
Zip
30012-
Cell
(678) 558-5030
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
YES
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
J. Manzo