Code
MEN-NAT-01
Mercy ID
V-00957-11
Last
Mendez
First
Natalia
DOB
01/14/2001
County
Gwinnett
House
(404) 982-1086
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
MEN-NAT-01 09/18/2002 Intake Y. Garcia Face to face K. Aleman