Code
CAR-FAT-02
Mercy ID
V-02560-11
Last
Carmona
First
Fatima
DOB
12/18/2002
County
Dekalb
House
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
CAR-FAT-02 08/08/2007 Intake Y. Garcia Face to face J. Manzo
CAR-FAT-02 08/08/2007 Sharing Group C. Martinez Face to face J. Manzo