WAYNE LYMAR SHAW

PORT SAINT LUCIE, FL
NPI1710817309
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: FL  CBHCM0108439)
Enumeration Date2026-05-23
Last Update Date2026-05-23
Business Address
WAYNE LYMAR SHAW
1737 SE TIFFANY CLUB PL
PORT SAINT LUCIE, FL 34952-7573
Phone number: 772-985-4110
Mailing Address
WAYNE LYMAR SHAW
1737 SE TIFFANY CLUB PL
PORT SAINT LUCIE, FL 34952-7573
Phone number: 772-985-4110
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