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On production, art directors are there to sweat the small stuff. A creative director is usually the keeper of a brand. make big decisions, especially when it comes time to steer the brand in a new direction. A good CD will be involved in creating a brief (which is then given to an art director & copywriter).
As a creative director in an agency, you will be in charge of a large team of skilled and dedicated marketers. But your clients will be dedicated to their own industries and interests. As a result, you need to be an expert not only on the creative process, but in selling your ideas and concepts to customers.