Shayne Kelly Wilson
Shayne Kelly Wilson is a Social Worker in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2024.
- Licensed in
- MI
- In the registry since
- 2024
Practice location Address checks out
1115 Ball Ave NEGrand Rapids, MI 49505-5904
Phone: (616) 451-3001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X (MI) |
|---|
Record details
| NPI number | 1396563995 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 1, 2024 |
| Last updated in NPPES | October 1, 2024 |
| Certification date | October 1, 2024 |
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