Code
REM-SUS-89
Mercy ID
V-01468-11
Last
Remijio
First
Susana
DOB
09/20/1989
County
Gwinnett
House
(404) 519-0220
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
REM-SUS-89 01/21/2004 Intake Y. Garcia Face to face K. Aleman