Code
GTI-ANY-03
Mercy ID
V-02332-23
Last
Gutierrez
First
Andy
DOB
04/08/2003
County
Cobb
House
(678) 789-1476
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
GTI-ANY-03 10/18/2006 Sharing Group C. Martinez Face to face J. Manzo
GTI-ANY-03 09/27/2006 Intake Volunteer Face to face J. Manzo
GTI-ANY-03 09/27/2006 Sharing Group Volunteer Face to face J. Manzo