Indiana
Professional Licensing Agency
Russell Roy Whitehead
Clinical Social Worker
License number
34001909A
Date granted
03/18/1993
Date expires
04/01/2016
Class
Clinical Social Worker
Status
Active
Address
FORT WAYNE IN 46835
indianalicensing.org
ID 1877665
LAST UPDATED 2024-03-22 12:28:28 UTC
LAST UPDATED 2024-03-22 12:28:28 UTC
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