Code
COB-BRE-00
Mercy ID
V-00578-11
Last
Cobarrubias
First
Brenda
DOB
02/23/2000
County
Fulton
House
(404) 664-8679
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
COB-BRE-00 10/03/2001 Intake K. Aleman Face to face K. Aleman