Code
PER-CHR-00
Mercy ID
V-01689-21
Last
Perez
First
Chris
DOB
05/08/2000
County
Gwinnett
House
(770) 339-8387
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
PER-CHR-00 09/15/2004 Intake Y. Garcia Face to face K. Aleman
PER-CHR-00 09/15/2004 Sharing Group Volunteer Face to face K. Aleman