Code
PER-RAC-01
Mercy ID
V-02801-11
Last
Perez
First
Rachel
DOB
10/31/2001
County
Fulton
House
(404) 604-3000
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
PER-RAC-01 06/04/2008 Intake F. Gomez Face to face J. Manzo
PER-RAC-01 06/04/2008 Sharing Group Volunteer Face to face J. Manzo