| Contact Information | |
|---|---|
| First Name | Shirley |
| Last Name | Powell |
| Address | 10147 Jett Drive |
| City | Dellwood |
| State | MO |
| Province | |
| Zip/Postal Code | 63136 |
| Country | United States |
| Home Phone | - |
| Work Phone | - |
| Fax | |
| Shirley.Powell@campus.fontbonne.edu | |
| Alternate Email | |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Dorian - Walker-Powell |
| Date of Injury | 10/02/2000 |
| Type of Injury | Obstetric |