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Individual

JIALI DONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2502 E. HUNTINGTON DR., DUARTE, CA 91010-2221
(626) 263-9133
Mailing address
2502 E. HUNTINGTON DR., DUARTE, CA 91010-2221
(626) 263-9133

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
84316
CA
104100000X
Social Worker
Primary
ASW84316
CA

Other

Enumeration date
08/30/2017
Last updated
09/02/2022
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