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1922640168
CARLO LAVERN SHAW
ORLANDO, FL
NPI
1922640168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH18808)
Enumeration Date
2019-10-09
Last Update Date
2019-10-09
Business Address
CARLO LAVERN SHAW
6150 METRO WEST BLVD SUITE 103
ORLANDO, FL 32811
Phone number: 407-276-2489
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Mailing Address
CARLO LAVERN SHAW
5403 EUGENIA CT
ORLANDO, FL 32811-3910
Phone number: 407-276-2489
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