Code
QUI-ANG-96
Mercy ID
V-01751-21
Last
Quintero
First
Angel
DOB
10/07/1996
County
Gwinnett
House
(678) 698-4761
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
QUI-ANG-96 11/17/2004 Intake K. Aleman Face to face K. Aleman
QUI-ANG-96 11/17/2004 Sharing Group C. Martinez Face to face K. Aleman