Pennsylvania
Department of State
LEN OCHS
Psychologist
License number
PS004710L
Date granted
04/11/1986
Date expires
01/31/1990
Class
Psychologist
Status
Suspended
Address
Sebastopol CA 95472
palicensing.org
ID 17360513
LAST UPDATED 2024-03-18 14:23:28 UTC
LAST UPDATED 2024-03-18 14:23:28 UTC
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