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Carlo Lavern Shaw
Mental Health Counselor in Orlando, Florida
NPI 1922640168

Carlo Lavern Shaw is a Mental Health Counselor based in Orlando, FL and is specialized in Mental Health. Carlo Lavern Shaw practices in Orlando, FL. The NPI Number for Carlo Lavern Shaw is 1922640168 and holds a License No. IMH18808 (Florida).

The current practice location address for Carlo Lavern Shaw is 6150 Metro West Blvd Suite 103, Orlando, FL and can be reached out via phone at 407-276-2489.

Location: 6150 Metro West Blvd Suite 103, Orlando, FL, 32811-3910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922640168
Provider Name
Carlo Lavern Shaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
6150 Metro West Blvd Suite 103, Orlando, FL, 32811-3910
Phone Number
407-276-2489
Fax Number
Provider Enumeration Date
10/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6150 Metro West Blvd Suite 103
City
Orlando
State
Florida
Zip
32811
Phone Number
407-276-2489
Fax Number
person
Provider Business Mailing Address Details
Address
6150 Metro West Blvd Suite 103
City
Orlando
State
Florida
Zip
32811
Phone Number
407-276-2489
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMH18808 (Florida)
Definition
Definition to come...
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