Code
SAN-MAN-94
Mercy ID
V-01956-21
Last
Santana
First
Manuel
DOB
05/04/1994
County
Gwinnett
House
(678) 663-0710
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
SAN-MAN-94 07/27/2005 Sharing Group C. Martinez Face to face K. Aleman
SAN-MAN-94 07/06/2005 Intake Volunteer Face to face K. Aleman