- Code
- POT-TAN-65
- Mercy ID
- V-02084-01
- Last
- Potra
- First
- Tania
- DOB
- 07/21/1965
- County
- Gwinnett
- House
- (770) 403-1678
|
CODE
|
DATE
|
SERVICE
|
INTAKE BY
|
CONTACT MODE
|
DATA ENTRY
|
|
POT-TAN-65 |
11/09/2005 |
Case Mgmt. |
G. Landeros |
Telephone |
R. Gonzalez |
|
POT-TAN-65 |
11/09/2005 |
Counseling |
G. Landeros |
Telephone |
R. Gonzalez |
|
POT-TAN-65 |
11/09/2005 |
Referral |
G. Landeros |
Telephone |
R. Gonzalez |
|
POT-TAN-65 |
11/09/2005 |
Information |
G. Landeros |
Telephone |
R. Gonzalez |
|
POT-TAN-65 |
11/09/2005 |
Intake |
G. Landeros |
Telephone |
R. Gonzalez |