Pennsylvania
Department of State
MINDY I FORMAN
Professional Counselor
License number
PC004005
Date granted
11/23/2005
Date expires
02/28/2015
Class
Professional Counselor
Status
Active
Address
Harrisburg PA 17109
palicensing.org
ID 17689634
LAST UPDATED 2024-03-22 01:14:15 UTC
LAST UPDATED 2024-03-22 01:14:15 UTC
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