Code
GAR-STA-89
Mercy ID
V-00708-11
Last
Garcia
First
Stacy
DOB
04/06/1989
County
Gwinnett
House
(678) 473-1340
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
GAR-STA-89 10/17/2001 Intake Y. Garcia Face to face K. Aleman