Code
PER-YES-93
Mercy ID
V-02037-11
Last
Perez
First
Yesenia
DOB
04/30/1993
County
Douglass
House
(770) 949-8517
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
PER-YES-93 09/28/2005 Intake C. Martinez Face to face J. Manzo