| Diane V Haddon Pllc | |
|
210 N Higgins Ave Suite 324 Missoula MT 59802-4462 | |
| (406) 721-6144 | |
| (406) 721-6709 |
| Full Name | Diane V Haddon Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 210 N Higgins Ave, Missoula, Montana |
| Authorized Official Name and Position | Diane V Haddon (SOLO OWNER) |
| Authorized Official Contact | 4067216144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane V Haddon Pllc 210 N Higgins Ave Suite 324 Missoula MT 59802-4462 Ph: (406) 721-6144 | Diane V Haddon Pllc 210 N Higgins Ave Suite 324 Missoula MT 59802-4462 Ph: (406) 721-6144 |
| NPI Number | 1477753366 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 07/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477753366 | NPI | - | NPPES |
| 0000502203 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 289LCSW (Montana) | Primary |
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