The holder whose full name is Larson, Nathan Allen,come from Greenwood IN,hold the Psychologist - Health Service Provider license(NO.20042106A) which status is Active.
| Name | Larson, Nathan Allen |
|---|---|
| License Number | 20042106A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Greenwood |
| State | IN |