Code
MED-SEL-02
Mercy ID
V-02506-12
Last
Medrano
First
Selena
DOB
11/16/2002
County
Cobb
House
(770) 941-2837
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
MED-SEL-02 09/05/2007 Intake C. Martinez Face to face Volunteer
MED-SEL-02 09/05/2007 Sharing Group Volunteer Face to face J. Manzo