Individual
PETALS CATRECE RAINEY-BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ED.S
Contact information
Practice address
1317 UJAMAA DR, RALEIGH, NC 27610-5773
(919) 755-3396
Mailing address
1317 UJAMAA DR, RALEIGH, NC 27610-5773
(919) 755-3396
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2318
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107568
—
NC
Enumeration date
09/08/2007
Last updated
10/01/2008
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