# DIANE V HADDON PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477753366
- **Authorized official:** DIANE V HADDON MSW LCSW (SOLO OWNER)
- **Authorized official phone:** (406) 721-6144

## Contact information

- **Practice address:** 210 N HIGGINS AVE, SUITE 324, MISSOULA, MT 59802-4462
- **Practice address phone:** (406) 721-6144
- **Practice address fax:** (406) 721-6709
- **Mailing address:** 210 N HIGGINS AVE, SUITE 324, MISSOULA, MT 59802-4462
- **Mailing address phone:** (406) 721-6144
- **Mailing address fax:** (406) 721-6709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 289LCSW | MT | Yes |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 07/19/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000502203 | — | MT |