Individual
ASHLEY WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 152ND AVE, HOLLAND, MI 49424-5901
(616) 786-1100
Mailing address
3997 JOHNSON LN SW, GRANDVILLE, MI 49418-2481
(616) 278-5164
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851115320
MI
1041C0700X
Clinical Social Worker
Primary
6801119186
MI
Other
Enumeration date
05/12/2022
Last updated
04/24/2026
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