Code
DIZ-ROS-76
Mercy ID
V-01379-01
Last
Diaz
First
Rosa
DOB
04/08/1976
County
Fulton
House
(678) 277-9757
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
DIZ-ROS-76 10/15/2003 Intake J. Manzo Telephone K. Aleman
DIZ-ROS-76 10/15/2003 Information J. Manzo Telephone K. Aleman
DIZ-ROS-76 10/15/2003 Education J. Manzo Telephone K. Aleman
DIZ-ROS-76 10/15/2003 Counseling J. Manzo Telephone K. Aleman
DIZ-ROS-76 10/15/2003 Case Mgmt. J. Manzo Telephone K. Aleman