Code
PER-LIL-91
Mercy ID
V-02150-11
Last
Perez
First
Lila samantha
DOB
01/24/1991
County
Gwinnett
House
(770) 443-3565
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
PER-LIL-91 02/01/2006 Information Volunteer Face to face R. Gonzalez
PER-LIL-91 02/01/2006 Intake Volunteer Face to face R. Gonzalez