Search › Idaho › 1041C0700X
Cleo Patrick, PHD, LCSW, LICSW
NPI 1275888943 · on the registry since 2012 · sole proprietor
Practice
- Address
- 366 Gunfighter Ave # 366mdg
Mountain Home Afb, ID 83648 - Phone
- (208) 828-7655
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- ID, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho