Contact Information | |
---|---|
First Name | Courtney |
Last Name | Widzinski |
Address | 2061 Hollywood Avenue |
City | Grosse Pointe Woods |
State | MI |
Province | |
Zip/Postal Code | 48236 |
Country | United States |
Home Phone | 586 - 6100595 |
Work Phone | - |
Fax | 2485443671 |
courtney@ubpn.org | |
Alternate Email | courtney.widzinski@gmail.com |
Website Address | |
Gender | Female |
Injury Information | |
The injured person is | Self |
Name of Injured | Courtney - Widzinski |
Date of Injury | 04/15/2001 |
Type of Injury | Traumatic |