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1447313028
RAYNETTE PEARL PETRIE
LEWISTON, ID
NPI
1447313028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-25024)
Enumeration Date
2006-12-18
Last Update Date
2024-09-05
Business Address
RAYNETTE PEARL PETRIE LCSW
2337 3RD AVE N
LEWISTON, ID 83501-1625
Phone number: 509-444-8200
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Mailing Address
RAYNETTE PEARL PETRIE LCSW
611 N IRON BRIDGE WAY
SPOKANE, WA 99202-4932
Phone number: 509-444-8888
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