Individual
SI LUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 PARK VIEW AVE APT 410, JERSEY CITY, NJ 07302-7382
(860) 795-4063
Mailing address
18 PARK VIEW AVE APT 410, JERSEY CITY, NJ 07302-7382
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128725
NY
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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