The holder whose full name is Jylland Halverson, Carl W.,come from Fort Wayne IN,hold the Psychologist - Health Service Provider license(NO.20040661A) which status is Active.
| Name | Jylland Halverson, Carl W. |
|---|---|
| License Number | 20040661A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Fort Wayne |
| State | IN |