The holder whose full name is Staples, Myra Denise,come from Hammond IN,hold the Clinical Social Worker license(NO.34005010A) which status is Active.
| Name | Staples, Myra Denise |
|---|---|
| License Number | 34005010A |
| License Type | Clinical Social Worker |
| License Status | Active |
| City | Hammond |
| State | IN |