Code
VEG-JES-90
Mercy ID
V-00041-11
Last
Vega
First
Jessica
DOB
02/14/1990
County
Dekalb
House
(770) 458-4623
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
VEG-JES-90 01/05/2000 Intake J. Perilla Face to face S. AviƱa