Individual
MR. JODY GRODNITZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 E PENNSYLVANIA AVE, TOWSON, MD 21286-5118
(410) 583-2222
Mailing address
110 E PENNSYLVANIA AVE, TOWSON, MD 21286-5118
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4294
MD
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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