Code
BRO-NAT-99
Mercy ID
V-01011-11
Last
Brocks
First
Nathalie
DOB
10/18/1999
County
Clayton
House
(770) 719-8748
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
BRO-NAT-99 09/11/2002 Intake Y. Garcia Face to face K. Aleman
BRO-NAT-99 09/11/2002 Sharing Group Volunteer Face to face K. Aleman