Code
QUI-FRE-97
Mercy ID
V-01520-21
Last
Quintana
First
Freddy
DOB
08/06/1997
County
Fulton
House
(770) 912-4040
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
QUI-FRE-97 03/10/2004 Intake K. Aleman Face to face K. Aleman
QUI-FRE-97 03/10/2004 Sharing Group Volunteer Face to face K. Aleman