Code
RAM-CHR-90
Mercy ID
V-00222-11
Last
Ramirez
First
Christina
DOB
06/14/2000
County
Dekalb
House
(770) 458-1899
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
RAM-CHR-90 06/14/2000 Intake K. Aleman Face to face D. Gomez