| Contact Information | |
|---|---|
| First Name | Samantha |
| Last Name | Safrit |
| Address | 1505 Stonesthrow Drive |
| City | Bessemer City |
| State | NC |
| Province | |
| Zip/Postal Code | 28016 |
| Country | United States |
| Home Phone | 704 - 6290994 |
| Work Phone | 704 - 9132543 |
| Fax | |
| kevin74@earthlink.net | |
| Alternate Email | samantha1176@earthlink.net |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Megan - Safrit |
| Date of Injury | 10/08/1998 |
| Type of Injury | Obstetric |