ZEN-EDW-01

Code
ZEN-EDW-01
Mercy ID
V-00783-22
Encounter Date
05/23/2007
Last
Zenil
First
Edwin
DOB
10/09/2001
County
Gwinnett
Street
5903 Western Hills Dr.
City
Norcross
State
GA
Zip
30071-
Home
(770) 729-9825
Family Status
Attached youth
COB
USA
Gender
Male Child
Housing
Not Homeless
Education Level
Preschool
Home Owner
YES

Parents Information

Name DOB COB
Mother Asalea Zenil 12/06/1973 Mexico
Father N/A N/A N/A
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
N/A
Grade
Pre-K
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
Volunteer
Data Entry
J. Manzo