The holder whose full name is Roth, Debra Kay,come from Cordova AK,hold the Temp Clin Soc Worker Permit license(NO.99008166A) which status is Superceded.
| Name | Roth, Debra Kay |
|---|---|
| License Number | 99008166A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Cordova |
| State | AK |