Indiana
Professional Licensing Agency
Park Center, Inc.
Behavioral Health Board - Ce Sponsor Bhhs
License number
98000188A
Date granted
07/11/2003
Date expires
04/01/2016
Class
Behavioral Health Board - Ce Sponsor Bhhs
Status
Active
Address
Attn : Virginia Moore, MSEd. LMHC, LSW, 909 E. State Blvd., Fort Wayne IN 46805
indianalicensing.org
ID 24633949
LAST UPDATED 2024-03-15 20:37:03 UTC
LAST UPDATED 2024-03-15 20:37:03 UTC
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