Name | MELENDEZ JAIME |
---|---|
Address | BRENTWOODNY |
Profession | LICENSED MASTER SOCIAL WORK |
License No | 023133 |
Date of Licensure | 09/01/04 (OriginallylicensedasaCertifiedSocialWorkeron01/18/80) |
Additional Qualification | |
Status | INACTIVE |
Registered through last day of |