Individual
MRS. ASHLEY NICOLE HUISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2161 LEONARD ST NW, GRAND RAPIDS, MI 49504-3829
(616) 719-0919
Mailing address
2161 LEONARD ST NW, GRAND RAPIDS, MI 49504-3829
(616) 719-0919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801097471
MI
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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