DR. Cleo Patrick, PHD, LCSW, LICSW
NPI #1275888943 in Mountain Home Afb, Idaho
Provider Information
- NPI Number
- 1275888943
- Entity Type
- Individual
- Name
- DR. Cleo Patrick, PHD, LCSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- PHD, LCSW, LICSW
- Enumeration Date
- Jul 19, 2012
- Last Updated
- Jul 10, 2023
Practice Location
- Address
- 366 GUNFIGHTER AVE # 366MDG
- State
- Idaho
- ZIP Code
- 83648-5258
- Phone
- (208) 828-7655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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