Individual
JILL ROBIN GRODOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
21628 GENTRY LN, BROOKEVILLE, MD 20833-1813
(301) 649-7170
(301) 260-8487
Mailing address
PO BOX 1687, ROCKVILLE, MD 20849-1687
(301) 649-7170
(301) 260-8487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005822
VA
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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