MOL-BLA-95
- Code
- MOL-BLA-95
- Mercy ID
- V-02820-11
- Last
- Molina
- First
- Blanca
- DOB
- 12/15/1995
- County
- Gwinnett
- House
| CODE | DATE | SERVICE | INTAKE BY | CONTACT MODE | DATA ENTRY |
|---|---|---|---|---|---|
| MOL-BLA-95 | 06/25/2008 | Intake | F. Gomez | Face to face | J. Manzo |
| MOL-BLA-95 | 06/25/2008 | Sharing Group | Volunteer | Face to face | J. Manzo |