Code
PET-BEN-98
Mercy ID
V-00593-21
Last
Petatan
First
Benjamin
DOB
07/21/1998
County
Fulton
House
(404) 256-4173
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
PET-BEN-98 08/08/2001 Intake K. Aleman Face to face K. Aleman
PET-BEN-98 07/11/2001 Child Care C. Martinez Face to face S. AviƱa