Code
LOP-KEV-00
Mercy ID
V-01569-21
Last
Lopez
First
Kevin
DOB
12/13/2000
County
Gwinnett
House
(770) 908-9162
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
LOP-KEV-00 04/21/2004 Intake Volunteer Face to face K. Aleman
LOP-KEV-00 04/21/2004 Sharing Group Volunteer Face to face K. Aleman