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Individual

ASHLEIGH RENEE WALLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.S

Contact information

Practice address
1111 40TH ST SE, GRAND RAPIDS, MI 49508-6084
(616) 241-6258
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 854-1116

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106S00000X
Behavior Technician

Other

Enumeration date
10/31/2023
Last updated
03/16/2026
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