Organization
DIANE V HADDON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE V HADDON MSW LCSW (SOLO OWNER)
(406) 721-6144
Entity
Organization
Contact information
Practice address
210 N HIGGINS AVE, SUITE 324, MISSOULA, MT 59802-4462
(406) 721-6144
(406) 721-6709
Mailing address
210 N HIGGINS AVE, SUITE 324, MISSOULA, MT 59802-4462
(406) 721-6144
(406) 721-6709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
289LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000502203
—
MT
Enumeration date
07/19/2007
Last updated
07/19/2007
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