Individual
MS. DIANA LONGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
535 SADDLE DR, HELENA, MT 59601-5634
(406) 449-3115
(406) 449-8828
Mailing address
535 SADDLE DR, HELENA, MT 59601-5634
(406) 449-3115
(406) 449-8828
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
121
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000500604
—
MT
01
—
70360
BLUE CROSS/BLUE SHIELD
MT
Enumeration date
09/16/2006
Last updated
07/08/2007
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