The holder whose full name is Hickman, Mark Ellsworth,come from Bloomington IN,hold the Clinical Social Worker license(NO.34002514A) which status is Active.
| Name | Hickman, Mark Ellsworth |
|---|---|
| License Number | 34002514A |
| License Type | Clinical Social Worker |
| License Status | Active |
| City | Bloomington |
| State | IN |