| Contact Information | |
|---|---|
| First Name | Keri |
| Last Name | |
| Address | |
| City | Marietta |
| State | OH |
| Province | |
| Zip/Postal Code | 45750 |
| Country | -- |
| Home Phone | - |
| Work Phone | - |
| Fax | |
| keri@wcitg.net | |
| Alternate Email | |
| Website Address | http://www.stitchinbythelake.com |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | - |
| Date of Injury | 08/28/1996 |
| Type of Injury | Obstetric |