Individual
ANNA IRENA GRODZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10 N MAIN ST, CORTLAND, NY 13045-2130
(607) 753-0234
(607) 753-0286
Mailing address
10 N MAIN ST, CORTLAND, NY 13045-2130
(607) 753-0234
(607) 753-0286
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001307
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336163963
—
NY
Enumeration date
06/24/2013
Last updated
04/08/2016
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