The holder whose full name is DIETZ, GREGORY A,come from LAFAYETTE IN,hold the Psychologist - Health Service Provider license(NO.20010474A) which status is Active.
| Name | DIETZ, GREGORY A |
|---|---|
| License Number | 20010474A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | LAFAYETTE |
| State | IN |