The holder whose full name is Long, Stephanie Lyn,come from Martinsville IN,hold the Temporary Occ Therapist Permit license(NO.99013253A) which status is Superceded.
| Name | Long, Stephanie Lyn |
|---|---|
| License Number | 99013253A |
| License Type | Temporary Occ Therapist Permit |
| License Status | Superceded |
| City | Martinsville |
| State | IN |