Code
MEN-CAR-02
Mercy ID
V-00957-12
Last
Mendez
First
Carolina
DOB
04/15/2002
County
Dekalb
House
(404) 982-1086
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
MEN-CAR-02 09/18/2002 Intake Y. Garcia Face to face K. Aleman