Most Relevant Information
Provider Data
| NPI Number: | 1003067620 |
| Provider Name: | SAMANTHA LOUISE LYTTLE HALVERSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 63765 |
Most Important Dates
| Enumeration Date: | 10/01/2008 |
| Last Updated: | 03/20/2023 |
Provider Practice Location
25500 HAWTHORNE BLVD STE 1152
TORRANCE
CA
905056834
Practice Location Phone/Fax
| Phone: | 3109512748 |
| Fax: |
Provider Mailing Location
25500 HAWTHORNE BLVD STE 1152
TORRANCE
CA
905056834
Provider Mailing Phone/Fax
| Phone: | 3109512748 |
| Fax: |