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Organization

CONVO WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIAN PROSSER (CEO)
(248) 459-5833
Entity
Organization

Contact information

Practice address
10167 GRAHAM DRIVE, CLARKSTON, MI 48348
(248) 805-1764
Mailing address
10167 GRAHAM DRIVE, CLARKSTON, MI 48348

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
103T00000X
Psychologist
1041C0700X
Clinical Social Worker

Other

Enumeration date
11/18/2022
Last updated
11/18/2022
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