The holder whose full name is Kellett, Mary Jean,come from Louisville KY,hold the Temp Clin Soc Worker Permit license(NO.99012041A) which status is Superceded.
| Name | Kellett, Mary Jean |
|---|---|
| License Number | 99012041A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Louisville |
| State | KY |