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Individual

MRS. SOPHIA CARINA GRODOTZKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3828 20TH ST N, SAINT PETERSBURG, FL 33714-4623
(631) 371-4524
Mailing address
3828 20TH ST N, SAINT PETERSBURG, FL 33714-4623
(631) 371-4524

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
08/20/2015
Last updated
08/12/2024
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