Code
AMA-CAR-81
Mercy ID
V-02111-02
Last
Amaya
First
Carlos
DOB
10/20/1981
County
Gwinnett
House
(770) 491-3074
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
AMA-CAR-81 01/26/2009 Intake J. Manzo Face to face J. Manzo
AMA-CAR-81 01/26/2009 Parenting Class J. Manzo Face to face J. Manzo