Code
SAN-RIC-95
Mercy ID
V-00510-21
Last
Peña
First
Ricardo
DOB
04/16/1995
County
Dekalb
House
(770) 936-0212
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
SAN-RIC-95 09/25/2002 Intake Y. Garcia Face to face K. Aleman
SAN-RIC-95 09/25/2002 Sharing Group M. Ryan Face to face K. Aleman