BOT-JUA-01
- Code
- BOT-JUA-01
- Mercy ID
- V-00119-21
- Last
- Botello
- First
- Juan
- DOB
- 04/14/2001
- County
- Dekalb
- House
- (000) 000-0000
| CODE | DATE | SERVICE | INTAKE BY | CONTACT MODE | DATA ENTRY |
|---|---|---|---|---|---|
| BOT-JUA-01 | 10/06/2004 | Intake | Y. Garcia | Face to face | K. Aleman |
| BOT-JUA-01 | 10/06/2004 | Sharing Group | Volunteer | Face to face | K. Aleman |