Code
DUR-JUA-02
Mercy ID
V-01976-21
Last
Durango
First
Juan jose
DOB
02/13/2002
County
Gwinnett
House
(678) 760-8412
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
DUR-JUA-02 07/27/2005 Sharing Group Volunteer Face to face K. Aleman
DUR-JUA-02 07/27/2005 Intake Y. Garcia Face to face K. Aleman