Code
BAE-MAR-91
Mercy ID
V-02567-11
Last
Baeza
First
Marcela
DOB
09/07/1991
County
Dekalb
House
(770) 621-0656
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
BAE-MAR-91 08/22/2007 Intake C. Martinez Face to face J. Manzo
BAE-MAR-91 08/22/2007 Sharing Group J. Parker Face to face J. Manzo