The holder whose full name is Peacock, Mary Ellen,come from Louisville KY,hold the Psychologist - Health Service Provider license(NO.20042180A) which status is Active.
| Name | Peacock, Mary Ellen |
|---|---|
| License Number | 20042180A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Louisville |
| State | KY |