Code
LAB-JOS-99
Mercy ID
V-00058-21
Last
Laboy
First
Jose
DOB
11/05/1999
County
Dekalb
House
(678) 437-0614
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
LAB-JOS-99 01/14/2004 Intake Y. Garcia Face to face K. Aleman
LAB-JOS-99 01/14/2004 Sharing Group Volunteer Face to face K. Aleman