Individual
DR. JENNIFER V LUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
78 EASTERN BLVD STE 2, GLASTONBURY, CT 06033-4325
(860) 652-0428
(860) 652-0081
Mailing address
78 EASTERN BLVD STE 2, GLASTONBURY, CT 06033-4325
(860) 652-0428
(860) 652-0081
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004754
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004754
LCSW CT LICENSE #
CT
Enumeration date
06/12/2006
Last updated
11/12/2022
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