Code
GRA-ETH-04
Mercy ID
V-02165-21
Last
Gray
First
Ethan
DOB
03/20/2004
County
Fulton
House
(404) 846-8224
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
GRA-ETH-04 06/07/2006 Sharing Group C. Roche Face to face R. Gonzalez
GRA-ETH-04 05/31/2006 Information R. Gonzalez Face to face R. Gonzalez
GRA-ETH-04 05/31/2006 Intake R. Gonzalez Face to face R. Gonzalez
GRA-ETH-04 05/31/2006 Sharing Group C. Roche Face to face R. Gonzalez
GRA-ETH-04 05/24/2006 Sharing Group C. Roche Face to face R. Gonzalez