Code
PER-GIS-96
Mercy ID
V-02037-12
Last
Perez
First
Gisela
DOB
10/05/1996
County
Douglass
House
(770) 949-8517
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
PER-GIS-96 09/28/2005 Intake Volunteer Face to face J. Manzo