Individual
MR. BENN GRODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
561 10TH AVE APT 20D, NEW YORK, NY 10036-3052
(301) 807-8944
Mailing address
561 10TH AVE APT 20D, NEW YORK, NY 10036-3052
(301) 807-8944
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
084676
NY
Other
Enumeration date
07/18/2013
Last updated
05/28/2020
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