Code
VAR-LAU-79
Mercy ID
V-01037-01
Last
Vargas
First
Laura
DOB
06/27/1979
County
Gwinnett
House
(678) 407-2628
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
VAR-LAU-79 11/13/2002 Intake C. Martinez Face to face K. Aleman