Code
WED-MIK-94
Mercy ID
V-00365-21
Last
Wedel
First
Mik
DOB
03/30/1994
County
Fulton
House
(770) 993-1934
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
WED-MIK-94 12/13/2000 Intake K. Aleman Telephone S. Aviña
WED-MIK-94 12/13/2000 Sharing Group M. Ryan Face to face S. Aviña