Code
VAL-NIC-96
Mercy ID
V-00885-21
Last
Valencia
First
Nicolas
DOB
07/30/1996
County
Fulton
House
(000) 000-0000
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
VAL-NIC-96 04/17/2002 Sharing Group M. Ryan Face to face K. Aleman
VAL-NIC-96 04/10/2002 Sharing Group M. Ryan Face to face K. Aleman
VAL-NIC-96 04/03/2002 Intake Y. Garcia Face to face K. Aleman
VAL-NIC-96 04/03/2002 Sharing Group M. Ryan Face to face K. Aleman