Code
MEN-TAN-11
Mercy ID
V-00311-11
Last
Mendez
First
Tanya
DOB
10/24/1992
County
Gwinnett
House
(770) 271-1617
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
MEN-TAN-11 06/05/2002 Intake Y. Garcia Face to face K. Aleman
MEN-TAN-11 06/05/2002 Sharing Group C. Martinez Face to face K. Aleman