Code
DIA-JOS-00
Mercy ID
V-00881-22
Last
Diaz
First
Jose luis
DOB
10/23/2000
County
Dekalb
House
(770) 908-8737
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
DIA-JOS-00 03/27/2002 Intake Y. Garcia Face to face K. Aleman
DIA-JOS-00 03/27/2002 Sharing Group C. Martinez Face to face K. Aleman