Most Relevant Information
Provider Data
| NPI Number: | 1003469172 |
| Provider Name: | DANEEN ANN LARECY MSW, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 17311 |
Most Important Dates
| Enumeration Date: | 07/18/2019 |
| Last Updated: | 07/18/2019 |
Provider Practice Location
3330 LOMITA BLVD
TORRANCE
CA
905055002
Practice Location Phone/Fax
| Phone: | 3107844983 |
| Fax: |
Provider Mailing Location
CARE MANAGEMENT DEPARTMENT
3330 W. LOMITA BLVD
TORRANCE
CA
90505
Provider Mailing Phone/Fax
| Phone: | 3107844983 |
| Fax: |