Code
CAR-ALE-97
Mercy ID
V-01243-11
Last
Cardona
First
Alexandra
DOB
01/16/1997
County
Gwinnett
House
(770) 939-3144
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
CAR-ALE-97 06/11/2003 Intake Y. Garcia Face to face K. Aleman