LORENZO SHAW

SAN DIEGO, CA
NPI1639997919
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  24701)
Enumeration Date2024-09-26
Last Update Date2024-09-26
Business Address
LORENZO SHAW RAC
4104 DELTA ST
SAN DIEGO, CA 92113-4113
Phone number: 619-384-6760
Mailing Address
LORENZO SHAW RAC
4104 DELTA ST
SAN DIEGO, CA 92113-4113
Phone number: 619-384-6760
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