The holder whose full name is Mangold, Jonathan,come from Zionsville IN,hold the Psychologist - Health Service Provider license(NO.20040052A) which status is Active.
| Name | Mangold, Jonathan |
|---|---|
| License Number | 20040052A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Zionsville |
| State | IN |