Name | WYGAND GLORIA J |
---|---|
Address | LINDENHURSTNY |
Profession | LICENSED CLINICAL SOCIAL WORK |
License No | 027358 |
Date of Licensure | 09/01/04 (OriginallylicensedasaCertifiedSocialWorkeron12/31/81) |
Additional Qualification | R -Psychotherapy Privilege |
Status | INACTIVE |
Registered through last day of |