The holder whose full name is Baxter, Katheryn Lori,come from Prospect KY,hold the Temp Clin Soc Worker Permit license(NO.99059438A) which status is Superceded.
| Name | Baxter, Katheryn Lori |
|---|---|
| License Number | 99059438A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Prospect |
| State | KY |