The holder whose full name is Mann, Kate Ann,come from Fort Wayne IN,hold the Temp Mental Hlth Coun Permit license(NO.99049455A) which status is Superceded.
| Name | Mann, Kate Ann |
|---|---|
| License Number | 99049455A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |