Code
JUA-EVE-03
Mercy ID
V-01303-11
Last
Juarez
First
Evelyn
DOB
02/04/2003
County
Fulton
House
(404) 767-2767
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
JUA-EVE-03 06/08/2005 Sharing Group Volunteer Face to face K. Aleman
JUA-EVE-03 06/01/2005 Intake Volunteer Face to face K. Aleman