Code
MED-ALI-98
Mercy ID
V-00900-11
Last
Medina
First
Alicia
DOB
08/04/1998
County
Gwinnett
House
(000) 000-0000
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
MED-ALI-98 04/24/2002 Intake Y. Garcia Face to face K. Aleman
MED-ALI-98 04/24/2002 Sharing Group C. Martinez Face to face K. Aleman