The holder whose full name is Lucas, Ellen Barbara,come from Muncie IN,hold the Psychologist - Health Service Provider license(NO.20040571A) which status is Active.
| Name | Lucas, Ellen Barbara |
|---|---|
| License Number | 20040571A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Muncie |
| State | IN |