ROD-JOS-91

Code
ROD-JOS-91
Mercy ID
V-03277-11
Encounter Date
03/31/2010
Last
Rodriguez
First
Joseline
DOB
12/24/1991
County
Dekalb
Street
1195 Reilly Lane
City
Clarkston
State
GA
Zip
30021-
Home
(404) 508-8958
Cell
(404) 569-8819
Family Status
Child/Youth
COB
Mexico
Gender
Female Child
Housing
Single Family
Education Level
some high school
Home Owner
No

Parents Information

Name DOB COB
Mother Bertha Palmerin 02/17/1973 Mexico
Father Isaias Rodriguez 06/07/1973 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
Elizabeth Andrews
Grade
12th.
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
C. Martinez
Data Entry
J. Manzo