Code
IBA-BLA-85
Mercy ID
V-02031-01
Last
Ibarra
First
Blanca
DOB
11/25/1985
County
Gwinnett
House
(770) 938-5294
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
IBA-BLA-85 09/16/2005 Case Mgmt. J. Perez Telephone R. Gonzalez
IBA-BLA-85 09/16/2005 Counseling J. Perez Telephone R. Gonzalez
IBA-BLA-85 09/16/2005 Education J. Perez Telephone R. Gonzalez
IBA-BLA-85 09/16/2005 Information J. Perez Telephone R. Gonzalez
IBA-BLA-85 09/16/2005 Intake J. Perez Telephone R. Gonzalez
IBA-BLA-85 09/16/2005 Referral J. Perez Telephone R. Gonzalez