| Contact Information | |
|---|---|
| First Name | melissa |
| Last Name | shultz |
| Address | 544 timberlane dr |
| City | kendallville |
| State | IN |
| Province | |
| Zip/Postal Code | 46755 |
| Country | United States |
| Home Phone | 260 - 3490145 |
| Work Phone | 260 - 3182499 |
| Fax | |
| shultzlysa1@aol.com | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | sophia - shultz |
| Date of Injury | 11/21/1997 |
| Type of Injury | Obstetric |