<p class="cf-meta-value"><strong>Name</strong><br>Lawrence Tillery</p><p class="cf-meta-value"><strong>Email Address</strong><br>tillery_lawrence@yahoo.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>5169746465</p><p class="cf-meta-value"><strong>Street address</strong><br>34 adams road</p><p class="cf-meta-value"><strong>City</strong><br>central islip </p><p class="cf-meta-value"><strong>State</strong><br>new york </p><p class="cf-meta-value"><strong>Zip</strong><br>11722</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>12/07/1991</p><p class="cf-meta-value"><strong>Appointment Reminders</strong><br>Text</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>2</p><p class="cf-meta-value"><strong>Name of Court</strong><br>hartford superior court </p><p class="cf-meta-value"><strong>Other Parent Name</strong><br>Tamika Spence </p><p class="cf-meta-value"><strong>Do you wish to participate in the program with the other parent?</strong><br>No</p><p class="cf-meta-value"><strong>Is there any history of violence or abuse within the family?</strong><br>Yes</p><p class="cf-meta-value"><strong>Does the participant speak English?</strong><br>Yes</p><p class="cf-meta-value"><strong>Is the participant hearing impaired?</strong><br>No</p><p class="cf-meta-value"><strong>Emergency Contact Name</strong><br>Michelle McKenzie </p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>5166354297</p>