Pancho - WED-MIK-94

Code: WED-MIK-94
Mercy ID: V-00365-21
Encounter Date: 12/13/2000
Last: Wedel
First: Mik
DOB: 03/30/1994
County: Fulton
Street: 335 marietta hwy
City: Roswell
State: GA

Zip

30075-

Home

(770) 993-1934

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	michelle wedel	08/01/1972	USA
Father	kim wedel	N/A	EEUU
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: roswell north
Grade: Kinder
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: S. Aviña