The holder whose full name is Gallup, Kathy J.,come from Fort Wayne IN,hold the Temp Mental Hlth Coun Permit license(NO.99034355A) which status is Superceded.
| Name | Gallup, Kathy J. |
|---|---|
| License Number | 99034355A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |