Individual
AMY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12930 JAMES ST STE 140, HOLLAND, MI 49424-8324
(616) 218-2427
Mailing address
11072 RILEY ST, ZEELAND, MI 49464-6857
(616) 218-2427
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801106876
MI
Other
Enumeration date
05/20/2020
Last updated
09/15/2025
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