Code
LOP-JEN-00
Mercy ID
V-00813-11
Last
Lopez
First
Jendy
DOB
09/14/2000
County
Gwinnett
House
(770) 338-9630
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
LOP-JEN-00 01/30/2002 Intake Y. Garcia Face to face K. Aleman
LOP-JEN-00 01/30/2002 Sharing Group C. Martinez Face to face K. Aleman