The holder whose full name is Kephart, Christina Marie,come from Clear Creek IN,hold the Psychologist - Health Service Provider license(NO.20041960A) which status is Active.
| Name | Kephart, Christina Marie |
|---|---|
| License Number | 20041960A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Clear Creek |
| State | IN |