Individual
MR. KRAIG MARTIN PATRIQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
1220 CEDAR DR, BERTHOUD, CO 80513-1018
(719) 649-9320
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW1223
WY
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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