The holder whose full name is Derucki, Carol,come from South Bend IN,hold the Mental Health Counselor license(NO.39002267A) which status is Active.
| Name | Derucki, Carol |
|---|---|
| License Number | 39002267A |
| License Type | Mental Health Counselor |
| License Status | Active |
| City | South Bend |
| State | IN |