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Organization
CREATIVE POTENTIAL LLC
Active
Organization
CREATIVE POTENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIERRA R DAVIS (OWNER)
(860) 848-0514
Entity
Organization
Contact information
Practice address
1031 NORWICH NEW LONDON TPKE UNIT 10, UNCASVILLE, CT 06382-1600
(860) 848-0514
(860) 848-0523
Mailing address
1031 NORWICH NEW LONDON TPKE UNIT 10, UNCASVILLE, CT 06382-1600
(860) 848-0514
(860) 848-0523
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
02/21/2020
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