KRAIG MARTIN PATRIQUIN

CHEYENNE, WY
NPI1043840614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WY  LCSW1223)
Enumeration Date2020-01-22
Last Update Date2020-01-22
Business Address
Mr. KRAIG MARTIN PATRIQUIN LCSW
2360 E PERSHING BLVD
CHEYENNE, WY 82001-5356
Phone number: 307-778-7550
Mailing Address
Mr. KRAIG MARTIN PATRIQUIN LCSW
1220 CEDAR DR
BERTHOUD, CO 80513-1018
Phone number: 719-649-9320