| Contact Information | |
|---|---|
| First Name | Carrie |
| Last Name | Laraia |
| Address | 3715 Hay Creek Rd. |
| City | Birdsboro |
| State | PA |
| Province | |
| Zip/Postal Code | 19508 |
| Country | United States |
| Home Phone | 610 - 913-8556 |
| claraia3715@aol.com | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Carrie - Laraia |
| Date of Injury | 01/26/1971 |
| Type of Injury | Obstetric |