Code
PER-KAT-99
Mercy ID
V-01689-11
Last
Perez
First
Katey
DOB
04/29/1999
County
Gwinnett
House
(770) 339-8387
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
PER-KAT-99 09/15/2004 Intake Y. Garcia Face to face K. Aleman
PER-KAT-99 09/15/2004 Sharing Group Volunteer Face to face K. Aleman