Name | ANZALONE TINA BETH |
---|---|
Address | CHEEKTOWAGANY |
Profession | LICENSED CLINICAL SOCIAL WORK |
License No | 041638 |
Date of Licensure | 09/01/04 (OriginallylicensedasaCertifiedSocialWorkeron09/05/90) |
Additional Qualification | R -Psychotherapy Privilege |
Status | REGISTERED |
Registered through last day of |