Code
PAD-KAT-04
Mercy ID
V-02414-11
Last
Padilla
First
Kati jasiela
DOB
11/08/2004
County
Dekalb
House
(678) 927-5073
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
PAD-KAT-04 03/14/2007 Intake C. Martinez Face to face J. Manzo
PAD-KAT-04 03/14/2007 Sharing Group C. Martinez Face to face J. Manzo