The holder whose full name is Shafer, Ellen J.,come from Terre Haute IN,hold the Temp Clin Soc Worker Permit license(NO.99033489A) which status is Superceded.
| Name | Shafer, Ellen J. |
|---|---|
| License Number | 99033489A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Terre Haute |
| State | IN |