GUSTAVO RAFAEL GRODNITZKY

WINSTON SALEM, NC
NPI1043549900
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: NC  2810)
Enumeration Date2009-12-23
Last Update Date2010-01-05
Business Address
Dr. GUSTAVO RAFAEL GRODNITZKY Ph.D.
736 MITCH DR
WINSTON SALEM, NC 27104-5126
Phone number: 336-659-8058
Mailing Address
Dr. GUSTAVO RAFAEL GRODNITZKY Ph.D.
736 MITCH DR
WINSTON SALEM, NC 27104-5126
Phone number: 336-659-8058