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1003436759
CREATING SPACE, LLC
MADISON, WI
NPI
1003436759
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Entity Type
Organization
Authorized Contact
ABIGAIL HALLORAN
Owner
608-205-8205
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2020-04-23
Last Update Date
2020-04-23
Business Address
CREATING SPACE, LLC
1915 WINNEBAGO ST STE 101
MADISON, WI 53704-5322
Phone number: 608-205-8205
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Mailing Address
CREATING SPACE, LLC
1915 WINNEBAGO ST STE 101
MADISON, WI 53704-5322
Phone number: 608-205-8205
Copy
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