Individual
CORY NAM LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
778 W FRONTAGE RD STE 113, NORTHFIELD, IL 60093-1209
(612) 804-7038
Mailing address
5556 N SHERIDAN RD APT 611, CHICAGO, IL 60640-1677
(612) 804-7038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150.106068
IL
1041S0200X
School Social Worker
150.106068
IL
Other
Enumeration date
06/11/2022
Last updated
06/11/2022
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