The holder whose full name is Clark, LaNiece Ann,come from Fort Wayne IN,hold the Occ Therapy Assistant license(NO.32000941A) which status is Active.
| Name | Clark, LaNiece Ann |
|---|---|
| License Number | 32000941A |
| License Type | Occ Therapy Assistant |
| License Status | Active |
| City | Fort Wayne |
| State | IN |