License Detail

NameBLACK SHIRLEY FRICK
AddressWELLSVILLENY
ProfessionLICENSED MASTER SOCIAL WORK
License No003985
Date of Licensure09/01/04  (OriginallylicensedasaCertifiedSocialWorkeron01/11/68)
Additional Qualification
StatusNOT REGISTERED
Registered through last day of

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