Individual
DIANE M ADAMS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW MAC
Contact information
Practice address
1600 SOUTH AVE W, SUITE A, MISSOULA, MT 59801
(406) 728-8388
Mailing address
35510 EDS CREEK RD, ALBERTON, MT 59820
(406) 728-8388
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
473
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0503013
—
MO
01
—
473
LICENSE
—
Enumeration date
03/30/2006
Last updated
07/08/2007
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