The holder whose full name is Krouse, Klinton Richard,come from Fort Wayne IN,hold the Psychologist - Health Service Provider license(NO.20042736A) which status is Active.
| Name | Krouse, Klinton Richard |
|---|---|
| License Number | 20042736A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Fort Wayne |
| State | IN |