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1639997919
LORENZO SHAW
SAN DIEGO, CA
NPI
1639997919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 24701)
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
LORENZO SHAW RAC
4104 DELTA ST
SAN DIEGO, CA 92113-4113
Phone number: 619-384-6760
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Mailing Address
LORENZO SHAW RAC
4104 DELTA ST
SAN DIEGO, CA 92113-4113
Phone number: 619-384-6760
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