Code
GAY-ERI-03
Mercy ID
V-02026-22
Last
Gaytan
First
Erick
DOB
10/23/2003
County
Dekalb
House
(678) 534-1297
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
GAY-ERI-03 04/28/2008 Intake G. Landeros Telephone J. Manzo