Idaho
Division of Occupational and Professional Licenses
LYLENA SELF
Idaho Board Of Social Work Examiners - Licensed Clinical Social Worker
License number
LCSW - 30738
Date granted
08/06/2010
Date expires
07/07/2017
Class
Idaho Board Of Social Work Examiners - Licensed Clinical Social Worker
Status
Current
Address
CLOVIS CA 93619
idaholicensing.com
ID 19706239
LAST UPDATED 2024-03-30 12:05:25 UTC
LAST UPDATED 2024-03-30 12:05:25 UTC
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