Code
LOP-JER-99
Mercy ID
V-00596-21
Last
Lopez
First
Jerry
DOB
01/19/1999
County
Gwinnett
House
(770) 923-8917
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
LOP-JER-99 09/05/2001 Intake K. Aleman Face to face K. Aleman