The holder whose full name is Dimitroff, Michael Lee,come from Maynardville TN,hold the Psychologist - Health Service Provider license(NO.20040111A) which status is Active.
| Name | Dimitroff, Michael Lee |
|---|---|
| License Number | 20040111A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Maynardville |
| State | TN |