Code
HER-ALE-01
Mercy ID
V-00548-11
Last
Hernandez
First
Alexandra
DOB
03/27/2001
County
Cobb
House
(770) 792-1389
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
HER-ALE-01 06/27/2001 Intake K. Aleman Face to face K. Aleman