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1528771581
SAMANTHA LYNNE FULTS
TORRANCE, CA
NPI
1528771581
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 148934)
Enumeration Date
2023-01-04
Last Update Date
2024-08-28
Business Address
SAMANTHA LYNNE FULTS
21535 HAWTHORNE BLVD STE 102
TORRANCE, CA 90503-6626
Phone number: 310-817-2177
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Mailing Address
SAMANTHA LYNNE FULTS
313 GRAND BLVD # 701
VENICE, CA 90291-4234
Phone number:
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