Individual
SHLOMO AVINOAM LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
8318 BOCA GLADES BLVD E, BOCA RATON, FL 33434-4029
(954) 408-4129
Mailing address
8318 BOCA GLADES BLVD E, BOCA RATON, FL 33434-4029
(954) 605-5804
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
IMT1067
FL
106H00000X
Marriage & Family Therapist
Primary
MT2918
FL
Other
Enumeration date
10/18/2011
Last updated
12/05/2022
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