The holder whose full name is Bleecker, David Jonathan,come from Bloomington IN,hold the Psychologist - Health Service Provider license(NO.20040212A) which status is Active.
| Name | Bleecker, David Jonathan |
|---|---|
| License Number | 20040212A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Bloomington |
| State | IN |