Code
SAL-IRI-90
Mercy ID
V-00261-12
Last
Salazar
First
Iris
DOB
04/08/1990
County
Dekalb
House
(770) 234-9795
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
SAL-IRI-90 08/16/2000 Intake K. Aleman Face to face D. Gomez