LAR-NIC-01
- Code
- LAR-NIC-01
- Mercy ID
- V-01207-22
- Last
- Lara
- First
- Nicolas
- DOB
- 05/30/2001
- County
- Gwinnett
- House
- (770) 609-3143
| CODE | DATE | SERVICE | INTAKE BY | CONTACT MODE | DATA ENTRY |
|---|---|---|---|---|---|
| LAR-NIC-01 | 05/02/2003 | Intake | K. Aleman | Telephone | K. Aleman |
| LAR-NIC-01 | 04/23/2003 | Sharing Group | S. Aviña | Face to face | K. Aleman |