Code
DIA-MAG-01
Mercy ID
V-00794-12
Last
Diaz
First
Magdeline
DOB
08/29/2001
County
Gwinnett
House
(770) 934-1026
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
DIA-MAG-01 01/16/2002 Sharing Group C. Martinez Face to face K. Aleman
DIA-MAG-01 01/09/2002 Intake Y. Garcia Face to face K. Aleman