Code
PEÑ-REB-01
Mercy ID
V-00510-11
Last
Peña
First
Rebeca
DOB
08/08/2001
County
Dekalb
House
(770) 936-0212
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
PEÑ-REB-01 09/25/2002 Intake Y. Garcia Face to face K. Aleman
PEÑ-REB-01 09/25/2002 Sharing Group Volunteer Face to face K. Aleman