The holder whose full name is Leader, Jacqueline C.,come from Brookston IN,hold the Temp Clin Soc Worker Permit license(NO.99048115A) which status is Superceded.
| Name | Leader, Jacqueline C. |
|---|---|
| License Number | 99048115A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Brookston |
| State | IN |