The holder whose full name is ROTH, MARK,come from Carmel IN,hold the Psychologist - Health Service Provider license(NO.20010291A) which status is Active.
| Name | ROTH, MARK |
|---|---|
| License Number | 20010291A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Carmel |
| State | IN |