Individual
MRS. ASHLEY WYBENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
729 OTTILLIA ST SE, GRAND RAPIDS, MI 49507-3241
(206) 696-8684
Mailing address
729 OTTILLIA ST SE, GRAND RAPIDS, MI 49507-3241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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