Code
ROD-VAL-99
Mercy ID
V-01214-11
Last
Rodriguez
First
Valeria
DOB
12/16/1999
County
Gwinnett
House
(770) 559-3859
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
ROD-VAL-99 07/09/2003 Intake Y. Garcia Face to face K. Aleman