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Individual
MARC GRODNER
Active
Individual
MARC GRODNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADT I
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R1192780215
CA
Other
Enumeration date
05/14/2016
Last updated
05/14/2016
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