Individual
DIANE WILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
210 SOUTH WINCHESTER, MILES CITY, MT 59301
(406) 874-5871
Mailing address
1006 SOUTH COTTAGE, MILES CITY, MT 59301
(406) 853-8591
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 549
AK
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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