Jack Lu LCSW, MSW

NPI 1336369172 - Social Worker - 1041C0700X

NPI Details
NPI 1336369172
Gender Male
Enumeration Date 04/26/2007
Last Updated 02/17/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
44 WATERBURY RD
SUITE 2C
PROSPECT CT, 06712-1242, US
Phone (860) 878-5648
Fax
Business Location
44 WATERBURY RD
SUITE 2C
PROSPECT CT, 06712-1242, US
Phone (860) 878-5648
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Connecticut
License Number 006540
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According to our database, Mr. Jack Lu LCSW, MSW NPI is 1336369172, taxonomy code is 1041C0700X and license number is 006540, license state is located at Connecticut. Jack Lu LCSW, MSW physically located at 44 Waterbury Rd, Prospect CT, 06712-1242. NPI Number Jack Lu LCSW, MSW has the Individual type.

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1336369172 NPI number is provided on an as is basis without warranty of any kind. 1336369172 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Lu LCSW, MSW are for informational purposes only.