Code
DIA-CLA-60
Mercy ID
V-00235-01
Last
Diaz
First
Clara
DOB
04/02/1960
County
Fulton
House
(770) 518-6719
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
DIA-CLA-60 06/05/2000 Intake J. Perez Telephone S. Aviña
DIA-CLA-60 06/05/2000 Information J. Perez Telephone S. Aviña
DIA-CLA-60 06/05/2000 Education J. Perez Telephone S. Aviña
DIA-CLA-60 06/05/2000 Counseling J. Perez Telephone S. Aviña
DIA-CLA-60 06/05/2000 Follow Up J. Perez Telephone S. Aviña