Individual
DATONG LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, PSEP
Contact information
Practice address
1778 CENTURY BLVD NE, ATLANTA, GA 30345-3398
(646) 481-6126
Mailing address
1778 CENTURY BLVD NE, ATLANTA, GA 30345-3398
(646) 481-6126
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
88289
CA
1041C0700X
Clinical Social Worker
Primary
007676
GA
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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