The holder whose full name is Southerland, Brenda Joyce,come from Avon IN,hold the Temp Clin Soc Worker Permit license(NO.99003483A) which status is Superceded.
| Name | Southerland, Brenda Joyce |
|---|---|
| License Number | 99003483A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Avon |
| State | IN |