Individual
RACHEL VANWYLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
1430 MONROE AVE NW, GRAND RAPIDS, MI 49505-4680
(616) 901-3652
Mailing address
1430 MONROE AVE NW, GRAND RAPIDS, MI 49505-4680
(616) 901-3652
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004664
MI
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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