The holder whose full name is Blakely, Tricia Renee,come from Hartford City IN,hold the Temp Clin Soc Worker Permit license(NO.99001215A) which status is Superceded.
| Name | Blakely, Tricia Renee |
|---|---|
| License Number | 99001215A |
| License Type | Temp Clin Soc Worker Permit |
| License Status | Superceded |
| City | Hartford City |
| State | IN |