Code
AVE-ALA-01
Mercy ID
V-00850-21
Last
Avellaneda
First
Alan
DOB
10/10/2001
County
Dekalb
House
(404) 846-9372
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
AVE-ALA-01 02/27/2002 Intake Y. Garcia Face to face K. Aleman