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Organization

CREATIVE INDEPENDENCE ALLIANCE, CORP.

Active
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Organization

CREATIVE INDEPENDENCE ALLIANCE, CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA PENDLETON (DIRECTOR)
(267) 275-2393
Entity
Organization

Contact information

Practice address
5323 MILLENIA LK BLVD STE 300, ORLANDO, FL 32839-3395
(844) 698-4498
Mailing address
5323 MILLENIA LK BLVD STE 300, ORLANDO, FL 32839-3395

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL

Other

Enumeration date
05/07/2020
Last updated
05/07/2020
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