Individual
ASHLYN DEWILDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 942-2522
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/02/2016
Last updated
09/27/2021
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