The holder whose full name is Swackhamer, Alexandra Lee,come from Indianapolis IN,hold the Temp Mental Hlth Coun Permit license(NO.99056461A) which status is Superceded.
| Name | Swackhamer, Alexandra Lee |
|---|---|
| License Number | 99056461A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |