The holder whose full name is Fissgus, Mary Beth,come from La Porte IN,hold the Clinical Social Worker license(NO.34000705A) which status is Active.
| Name | Fissgus, Mary Beth |
|---|---|
| License Number | 34000705A |
| License Type | Clinical Social Worker |
| License Status | Active |
| City | La Porte |
| State | IN |