Contact Information | |
---|---|
First Name | Shannon |
Last Name | Furlong |
Address | 1914 Hyannis Court |
Apt T1 | |
City | Mclean |
State | VA |
Province | |
Zip/Postal Code | 22102 |
Country | -- |
Home Phone | 571 - 2511406 |
Work Phone | - |
Fax | |
Shannon.Furlong@gmail.com | |
Alternate Email | |
Website Address | |
Gender | Female |
Injury Information | |
The injured person is | Child |
Name of Injured | Level 3 nerve root avulsion - |
Date of Injury | 12/1/08 |
Type of Injury | Obstetric |