Code
CHA-ANG-96
Mercy ID
V-00684-24
Last
Chavez
First
Angel
DOB
12/20/1996
County
Cobb
House
(678) 488-9405
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
CHA-ANG-96 09/19/2001 Intake Y. Garcia Face to face K. Aleman