Code
GAM-JUA-05
Mercy ID
V-02124-21
Last
Gama
First
Juan
DOB
12/09/2005
County
Dekalb
House
(770) 458-6268
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
GAM-JUA-05 07/12/2006 Sharing Group C. Roche Face to face J. Manzo
GAM-JUA-05 02/08/2006 Information R. Gonzalez Face to face R. Gonzalez
GAM-JUA-05 02/08/2006 Intake R. Gonzalez Face to face R. Gonzalez