Organization
CREATING SPACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL HALLORAN LCSW (OWNER)
(608) 205-8205
Entity
Organization
Contact information
Practice address
1915 WINNEBAGO ST STE 101, MADISON, WI 53704-5322
(608) 205-8205
(608) 999-7313
Mailing address
1915 WINNEBAGO ST STE 101, MADISON, WI 53704-5322
(608) 205-8205
(608) 999-7313
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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