Code
BAL-JUA-92
Mercy ID
V-00464-21
Last
Baltazar
First
Juan david
DOB
11/03/1992
County
Fulton
House
(770) 619-3272
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
BAL-JUA-92 03/26/2008 Intake C. Martinez Face to face J. Manzo
BAL-JUA-92 03/26/2008 Sharing Group J. Parker Face to face J. Manzo