| Name | MELL LEONARD EDWARD |
|---|---|
| Address | ANNANDALEVA |
| Profession | LICENSED MASTER SOCIAL WORK |
| License No | 023135 |
| Date of Licensure | 09/01/04 (OriginallylicensedasaCertifiedSocialWorkeron01/18/80) |
| Additional Qualification | |
| Status | NOT REGISTERED |
| Registered through last day of |