Code
SIM-GEO-03
Mercy ID
V-02302-21
Last
Simmons
First
George
DOB
12/09/2003
County
Fulton
House
(770) 317-7578
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
SIM-GEO-03 08/09/2006 Intake J. Manzo Face to face J. Manzo
SIM-GEO-03 08/09/2006 Sharing Group Volunteer Face to face J. Manzo