Individual
AHUVA BRACHA GRODKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5010 MAYFIELD RD, LYNDHURST, OH 44124-2695
(845) 826-2489
Mailing address
14389 E CARROLL BLVD, UNIVERSITY HEIGHTS, OH 44118-4601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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