Code
DOM-KAT-02
Mercy ID
V-00974-13
Last
Dominguez
First
Kaitlyn
DOB
08/21/2002
County
Gwinnett
House
(770) 682-3130
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
DOM-KAT-02 09/17/2003 Sharing Group S. AviƱa Face to face K. Aleman
DOM-KAT-02 08/20/2003 Intake Y. Garcia Face to face K. Aleman