Code
MAR-CLA-61
Mercy ID
V-01524-01
Last
Martinez
First
Claudia liliana
DOB
04/23/1961
County
Fulton
House
(000) 000-0000
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
MAR-CLA-61 03/12/2004 Intake J. Manzo Telephone K. Aleman
MAR-CLA-61 03/12/2004 Information J. Manzo Telephone K. Aleman
MAR-CLA-61 03/12/2004 Education J. Manzo Telephone K. Aleman
MAR-CLA-61 03/12/2004 Counseling J. Manzo Telephone K. Aleman
MAR-CLA-61 03/12/2004 Case Mgmt. J. Manzo Telephone K. Aleman