<p class="cf-meta-value"><strong>Name</strong><br>Nicole Walser</p><p class="cf-meta-value"><strong>Email Address</strong><br>Nmwalser625@gmail.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>203-685-6177</p><p class="cf-meta-value"><strong>Street address</strong><br>1557 Georges Hill Road </p><p class="cf-meta-value"><strong>City</strong><br>Southbury </p><p class="cf-meta-value"><strong>State</strong><br>Ct</p><p class="cf-meta-value"><strong>Zip</strong><br>06488</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>6/25/82</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>9 & 12</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Milford Superior Court</p><p class="cf-meta-value"><strong>Other Parent Name</strong><br>Mark Walser</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>No</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>Sherri Storms</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>203-260-5050</p>