Code
BAI-KEL-05
Mercy ID
V-03343-12
Last
Bailon
First
Kelly
DOB
05/26/2002
County
Dekalb
House
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
BAI-KEL-05 06/16/2010 Intake C. Martinez Face to face J. Manzo
BAI-KEL-05 06/16/2010 Sharing Group Volunteer Face to face J. Manzo