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Organization

INTERACTIVE COMMUNITY INITIATIVES LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFFER JO FRISKNEY (OWNER)
(260) 760-9205
Entity
Organization

Contact information

Practice address
1995 N 110 W, ANGOLA, IN 46703-7639
(260) 760-9205
Mailing address
PO BOX 62, PLEASANT LAKE, IN 46779-0062
(260) 760-9205

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
11/03/2021
Last updated
11/03/2021
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