The holder whose full name is Hickman, Leonard A.,come from Granger IN,hold the Psychologist - Health Service Provider license(NO.20040609A) which status is Active.
| Name | Hickman, Leonard A. |
|---|---|
| License Number | 20040609A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Granger |
| State | IN |