Code
ALV-JES-02
Mercy ID
V-01580-12
Last
Alvarado
First
Jessica
DOB
08/20/2002
County
Barrow
House
(770) 867-5873
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
ALV-JES-02 07/14/2004 Intake Y. Garcia Face to face K. Aleman