The holder whose full name is Barisa, Mark Thomas,come from Dallas TX,hold the Psychologist - Health Service Provider license(NO.20042107A) which status is Expired.
| Name | Barisa, Mark Thomas |
|---|---|
| License Number | 20042107A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | Dallas |
| State | TX |