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1053860452
JORDAN GRODKO
CLEVELAND, OH
NPI
1053860452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH S.1501324)
Enumeration Date
2016-09-26
Last Update Date
2016-09-26
Business Address
-- JORDAN GRODKO LSW
22001 FAIRMOUNT BLVD
CLEVELAND, OH 44118-4819
Phone number: 845-548-1999
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Mailing Address
-- JORDAN GRODKO LSW
14389 E CARROLL BLVD
UNIVERSITY HTS, OH 44118-4601
Phone number: 845-548-1999
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