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Individual

ASHLYNN MATTINGLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2851 CHARLEVOIX DR SE STE 323, GRAND RAPIDS, MI 49546-7092
(616) 458-0692
(616) 458-8129
Mailing address
2851 CHARLEVOIX DR SE STE 323, GRAND RAPIDS, MI 49546-7092
(616) 458-0692
(616) 458-8129

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801109095
MI

Other

Enumeration date
12/24/2020
Last updated
03/11/2026
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