The holder whose full name is Baise, Henry Shelton,come from Charlottesville IN,hold the Clinical Social Worker license(NO.34002157A) which status is Active.
| Name | Baise, Henry Shelton |
|---|---|
| License Number | 34002157A |
| License Type | Clinical Social Worker |
| License Status | Active |
| City | Charlottesville |
| State | IN |