Code
SOT-SUL-82
Mercy ID
V-00004-11
Last
Soto
First
Suliana
DOB
09/01/1982
County
Dekalb
House
(404) 298-7489
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
SOT-SUL-82 01/05/2000 Intake J. Manzo Face to face K. Aleman