Code
LOP-JOV-03
Mercy ID
V-01532-21
Last
Lopez
First
Jovani
DOB
04/19/2003
County
Fulton
House
(404) 846-6541
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
LOP-JOV-03 04/07/2004 Intake Y. Garcia Face to face K. Aleman