Code
DOM-KIM-95
Mercy ID
V-00974-11
Last
Dominguez
First
Kimberly
DOB
09/06/1995
County
Gwinnett
House
(770) 682-3130
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
DOM-KIM-95 09/17/2003 Sharing Group C. Martinez Face to face K. Aleman
DOM-KIM-95 09/10/2003 Sharing Group C. Martinez Face to face K. Aleman
DOM-KIM-95 08/20/2003 Intake Y. Garcia Face to face K. Aleman
DOM-KIM-95 08/20/2003 Sharing Group M. Ryan Face to face K. Aleman