Individual
MRS. DIANE L GEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
2211 5TH AVE N, GREAT FALLS, MT 59401
(406) 452-6655
(406) 452-6561
Mailing address
1220 CENTRAL AVE STE 1-A, GREAT FALLS, MT 59401-3752
(406) 727-2512
(406) 727-7451
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
639 LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0503642
—
MT
Enumeration date
10/03/2006
Last updated
03/24/2008
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