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Individual
LYMAR SHAW
Active
Individual
LYMAR SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S000521772940
FL
1041C0700X
Clinical Social Worker
Primary
S000521772940
FL
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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