Code
MED-LES-96
Mercy ID
V-02883-11
Last
Medrano
First
Leslie
DOB
09/12/1996
County
Gwinnett
House
(770) 904-4970
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
MED-LES-96 09/03/2008 Sharing Group Volunteer Face to face J. Manzo
MED-LES-96 09/03/2008 Intake Volunteer Face to face J. Manzo