Code
SOT-LIZ-99
Mercy ID
V-01238-11
Last
Soto
First
Lizeth
DOB
09/11/1999
County
Gwinnett
House
(770) 582-0722
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
SOT-LIZ-99 05/14/2003 Intake Y. Garcia Face to face K. Aleman