Code
MAL-LES-89
Mercy ID
V-01705-11
Last
Maldonado
First
Leslie
DOB
07/15/1989
County
Gwinnett
House
(678) 380-6828
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
MAL-LES-89 09/29/2004 Intake Y. Garcia Face to face K. Aleman
MAL-LES-89 09/29/2004 Sharing Group C. Collier Face to face K. Aleman