Code
VEL-CHR-01
Mercy ID
V-01462-21
Last
Velazquez
First
Christian
DOB
03/11/2001
County
Dekalb
House
(678) 760-6817
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
VEL-CHR-01 01/07/2004 Intake Y. Garcia Face to face K. Aleman