The holder whose full name is Payne, Terry Ray,come from Taylor Mill KY,hold the Temp Clin Soc Worker Permit license(NO.99039005A) which status is Superceded.
| Name | Payne, Terry Ray |
|---|---|
| License Number | 99039005A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Taylor Mill |
| State | KY |