Code
ALV-JAC-99
Mercy ID
V-01580-11
Last
Alvarado
First
Jacqueline
DOB
03/27/1999
County
Barrow
House
(770) 867-5873
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
ALV-JAC-99 07/17/2004 Intake Y. Garcia Face to face K. Aleman
ALV-JAC-99 07/14/2004 Sharing Group Volunteer Face to face K. Aleman