Code
MEJ-IVA-99
Mercy ID
V-00864-21
Last
Mejia
First
Ivan
DOB
04/05/1999
County
Gwinnett
House
(770) 923-4081
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
MEJ-IVA-99 08/28/2002 Intake Y. Garcia Face to face K. Aleman
MEJ-IVA-99 08/28/2002 Sharing Group Volunteer Face to face K. Aleman