| Doctor Name: | ASHLEY WILSON |
| NPI Number: | 1255664850 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 6801091733 |
| Business Practice Address: | 204 E Muskegon St Cedar Springs, MI - 493199326 |
| Business Phone Number: | 6169658200 |
| Business Fax Number: | |
| Mailing Address: | 12117 White Cedar Dr, CEDAR SPRINGS |
| State: | MI |
| Postal Code: | 493197904 |
| Phone Number: | 5177403521 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2009 |
| NPI Last Update Date: | 04/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801091733 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |