The holder whose full name is Hines, Michael Charles,come from Zionsville IN,hold the Psychologist - Health Service Provider license(NO.20042507A) which status is Active.
| Name | Hines, Michael Charles |
|---|---|
| License Number | 20042507A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Zionsville |
| State | IN |