Code
MEN-DEP-97
Mercy ID
V-00311-12
Last
Mendez
First
Dephane
DOB
01/22/1997
County
Gwinnett
House
(770) 271-1617
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
MEN-DEP-97 06/05/2002 Intake Y. Garcia Face to face K. Aleman
MEN-DEP-97 06/05/2002 Sharing Group C. Martinez Face to face K. Aleman