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Organization

CONVERGE MENTAL WELLNESS ASSOCIATES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT THOMPSON PA (OWNER/AUTHORIZED OFFICIAL)
(248) 579-4014
Entity
Organization

Contact information

Practice address
1890 CROOKS RD STE 200, TROY, MI 48084-5540
(248) 579-4014
Mailing address
1890 CROOKS RD STE 200, TROY, MI 48084-5540
(248) 579-4014

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
08/26/2022
Last updated
08/26/2022
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