ROD-NOE-76

Code
ROD-NOE-76
Mercy ID
V-03160-01
Encounter Date
09/01/2009
Last
Rodriguez
First
Noemi
DOB
08/15/1976
County
Cobb
Street
48 Oxford Rd.
City
Marietta
State
GA
Zip
30008-
Cell
(678) 334-3663
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school
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
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
G. Landeros
Data Entry
J. Manzo