The holder whose full name is Gallaway, Marita Jo,come from Marion IN,hold the Temp Clin Soc Worker Permit license(NO.99016660A) which status is Superceded.
| Name | Gallaway, Marita Jo |
|---|---|
| License Number | 99016660A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Marion |
| State | IN |