Code
HID-LUI-03
Mercy ID
V-01261-11
Last
Hidalgo rosario
First
Luisiana
DOB
04/21/2003
County
Dekalb
House
(404) 634-5945
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
HID-LUI-03 07/17/2003 Intake Y. Garcia Face to face K. Aleman