Code
DEJ-LES-00
Mercy ID
V-00627-11
Last
De jesus
First
Leslie
DOB
10/19/2000
County
Gwinnett
House
(770) 381-7151
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
DEJ-LES-00 08/08/2001 Intake K. Aleman Face to face K. Aleman