Code
POT-TAN-65
Mercy ID
V-02084-01
Last
Potra
First
Tania
DOB
07/21/1965
County
Gwinnett
House
(770) 403-1678
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
POT-TAN-65 11/09/2005 Case Mgmt. G. Landeros Telephone R. Gonzalez
POT-TAN-65 11/09/2005 Counseling G. Landeros Telephone R. Gonzalez
POT-TAN-65 11/09/2005 Referral G. Landeros Telephone R. Gonzalez
POT-TAN-65 11/09/2005 Information G. Landeros Telephone R. Gonzalez
POT-TAN-65 11/09/2005 Intake G. Landeros Telephone R. Gonzalez