CARLO LAVERN SHAW

ORLANDO, FL
NPI1922640168
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  IMH18808)
Enumeration Date2019-10-09
Last Update Date2019-10-09
Business Address
CARLO LAVERN SHAW
6150 METRO WEST BLVD SUITE 103
ORLANDO, FL 32811
Phone number: 407-276-2489
Mailing Address
CARLO LAVERN SHAW
5403 EUGENIA CT
ORLANDO, FL 32811-3910
Phone number: 407-276-2489