The holder whose full name is Macharaschwili, Tamara Anna,come from Michigan City IN,hold the Temp Clin Soc Worker Permit license(NO.99016887A) which status is Superceded.
| Name | Macharaschwili, Tamara Anna |
|---|---|
| License Number | 99016887A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Michigan City |
| State | IN |