Indiana
Professional Licensing Agency
LATA SONPAL
Psychologist
License number
20040105A
Date granted
07/14/1986
Date expires
08/31/2016
Class
Psychologist
Status
Active
Address
Miami FL 33156
indianalicensing.org
ID 8451600
LAST UPDATED 2026-05-17 00:37:57 UTC
LAST UPDATED 2026-05-17 00:37:57 UTC
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