Code
GON-LES-03
Mercy ID
V-01647-12
Last
Gonzalez
First
Leslie
DOB
07/17/2003
County
Gwinnett
House
(678) 508-8415
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
GON-LES-03 06/30/2004 Intake Y. Garcia Face to face K. Aleman