Individual
MARVA MAY SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1401 S FEDERAL HWY, FORT LAUDERDALE, FL 33316-2619
(954) 728-1083
Mailing address
1401 S FEDERAL HWY, FORT LAUDERDALE, FL 33316-2619
(954) 728-1083
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011137300
—
FL
Enumeration date
04/15/2014
Last updated
09/07/2022
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