Code
CHA-NAI-94
Mercy ID
V-00684-11
Last
Chavez
First
Naila
DOB
10/25/1994
County
Cobb
House
(678) 488-9405
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
CHA-NAI-94 09/19/2001 Intake Y. Garcia Face to face K. Aleman