Individual
ASHLEY LYNN KNICELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 544-3050
(734) 544-2906
Mailing address
PO BOX 915, 555 TOWNER, YPSILANTI, MI 48167
(734) 544-3000
(734) 544-6732
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
L1669881
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38-6004894
COUNTY OF WASHTENAW
MI
Enumeration date
03/26/2012
Last updated
05/07/2019
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