Indiana
Professional Licensing Agency
Tamara Lynne Van Baalen
Clinical Social Worker
License number
34003564A
Date granted
08/19/1996
Date expires
04/01/2016
Class
Clinical Social Worker
Status
Active
Address
Fort Wayne IN 46805
indianalicensing.org
ID 1877901
LAST UPDATED 2024-03-30 21:53:52 UTC
LAST UPDATED 2024-03-30 21:53:52 UTC
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