Code
VEG-TAN-94
Mercy ID
V-00041-12
Last
Vega
First
Tania
DOB
02/25/1994
County
Dekalb
House
(770) 458-4623
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
VEG-TAN-94 01/05/2000 Intake J. Perilla Face to face S. AviƱa