Pancho - WIL-EDW-22

Code: WIL-EDW-22
Mercy ID: V-00113-22
Encounter Date: 03/22/2000
Last: Wilson
First: Edward
DOB: 04/13/1997
County: Cobb
Street: 768 roger way
City: Marietta
State: GA

Zip

30064-

Home

(678) 290-1243

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	martha wilson	02/28/1958	Perú
Father	randall wilson	08/08/1959	EEUU
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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: K. Aleman
Data Entry: K. Aleman