SHAYNE KELLY WILSON

GRAND RAPIDS, MI
NPI1396563995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2024-10-01
Last Update Date2024-10-01
Business Address
SHAYNE KELLY WILSON
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-451-3001
Mailing Address
SHAYNE KELLY WILSON
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-451-3001
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