Individual
MR. JACK LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, MSW
Contact information
Practice address
44 WATERBURY RD, SUITE 2C, PROSPECT, CT 06712-1242
(860) 878-5648
Mailing address
44 WATERBURY RD, SUITE 2C, PROSPECT, CT 06712-1242
(860) 878-5648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006540
CT
Other
Enumeration date
04/26/2007
Last updated
02/17/2015
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