License Number: SW13983

Data As Of 2/7/2023

Profession Licensed Clinical Social Worker
License SW13983
License Status CLEAR/ACTIVE
Qualifications Qualified Supervisor CSW
License Expiration Date 3/31/2023
License Original Issue Date 10/17/2016
Address of Record 628 MO 628 MOLINO RD
MOLINO, FL 32577
Discipline on File No
Public Complaint No

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