Code
RUI-ERN-03
Mercy ID
V-02993-23
Last
Ruiz
First
Ernesto
DOB
03/21/2003
County
Cobb
House
(770) 941-1919
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
RUI-ERN-03 01/28/2009 Intake C. Martinez Face to face J. Manzo
RUI-ERN-03 01/28/2009 Sharing Group Volunteer Face to face J. Manzo