The holder whose full name is KENIS, DAVID R,come from Valparaiso IN,hold the Psychologist - Health Service Provider license(NO.20040382A) which status is Active.
| Name | KENIS, DAVID R |
|---|---|
| License Number | 20040382A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Valparaiso |
| State | IN |