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Individual

CHRISTINE ELAINE LISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
11111 HOUZE RD STE 225, ROSWELL, GA 30076-5618
(770) 603-0123
(770) 910-9919
Mailing address
4184 NASHOBA DR NE, ROSWELL, GA 30075-1667
(404) 786-0882

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
CSW008482
GA
1041C0700X
Clinical Social Worker
MSW007511
GA

Other

Enumeration date
01/26/2022
Last updated
02/13/2026
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