Code
SOT-DEL-01
Mercy ID
V-01238-12
Last
Soto
First
Delaney
DOB
10/13/2001
County
Gwinnett
House
(770) 582-0722
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
SOT-DEL-01 05/14/2003 Intake Y. Garcia Face to face K. Aleman