Code
PER-FAN-93
Mercy ID
V-02150-12
Last
Perez correa
First
Fanny priscilla
DOB
03/10/1993
County
Gwinnett
House
(770) 443-3565
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
PER-FAN-93 02/08/2006 Sharing Group J. Parker Face to face R. Gonzalez
PER-FAN-93 02/01/2006 Information Volunteer Face to face R. Gonzalez
PER-FAN-93 02/01/2006 Intake Volunteer Face to face R. Gonzalez