Code
CHA-FEL-90
Mercy ID
V-03374-21
Last
Chavez
First
Felipe
DOB
10/26/1990
County
Dekalb
House
(678) 887-6845
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
CHA-FEL-90 07/28/2010 Intake Volunteer Face to face J. Manzo