| Dr Cleo Patrick, PHD, LCSW, LICSW | |
|
366 Gunfighter Ave # 366mdg, Mountain Home Afb, ID 83648-5258 | |
| (208) 828-7655 | |
| Not Available |
| Full Name | Dr Cleo Patrick |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 366 Gunfighter Ave # 366mdg, Mountain Home Afb, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275888943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-34797 (Idaho) | Primary |
| 1041C0700X | Social Worker - Clinical | 61261680 (Washington) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cleo Patrick, PHD, LCSW, LICSW 5955 Zeamer Ave # 673mdg, Jber, AK 99506-3702 Ph: (907) 580-3205 | Dr Cleo Patrick, PHD, LCSW, LICSW 366 Gunfighter Ave # 366mdg, Mountain Home Afb, ID 83648-5258 Ph: (208) 828-7655 |
Jacqueline A Shafer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 208-828-7531 | |
Roberto Olvera, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 Phone: 208-828-7520 | |
Debra E Hayton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 Phone: 208-828-7505 | |
Susanna Gunkel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 208-828-7580 | |
Thomas Madden, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 208-828-7520 | |
Kellie King, CSW-INTERN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 Phone: 208-828-7580 |