Code
VIA-JUA-02
Mercy ID
V-03432-22
Last
Viazcan
First
Juan carlos
DOB
06/24/2002
County
Dekalb
House
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
VIA-JUA-02 09/29/2010 Sharing Group Volunteer Face to face J. Manzo
VIA-JUA-02 09/29/2010 Intake Volunteer Face to face J. Manzo