ROD-AST-70

Code
ROD-AST-70
Mercy ID
V-02441-01
Encounter Date
07/14/2007
Last
Rodriguez
First
Astrid
DOB
11/07/1970
County
Gwinnett
Street
3585 Baywater Ct.
City
Snellville
State
GA
Zip
30039-
Home
(678) 344-7194
Cell
(678) 773-4308
Family Status
Single parent w/children
COB
Argentina
Gender
Female
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
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