Name | HEYWARD ELOISE L |
---|---|
Address | CAMBRIA HEIGHTSNY |
Profession | LICENSED CLINICAL SOCIAL WORK |
License No | 001036 |
Date of Licensure | 09/01/04 (OriginallylicensedasaCertifiedSocialWorkeron06/24/66) |
Additional Qualification | P -3-year psychotherapy privilege |
Status | NOT REGISTERED |
Registered through last day of |