Individual
JORDAN GRODKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
14389 E CARROLL BLVD, UNIVERSITY HTS, OH 44118-4601
(845) 548-1999
Mailing address
14389 E CARROLL BLVD, UNIVERSITY HTS, OH 44118-4601
(845) 548-1999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2203841-SUPV
OH
Other
Enumeration date
09/26/2016
Last updated
05/26/2025
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