Individual
RAYNETTE PEARL PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2337 3RD AVE N, LEWISTON, ID 83501-1625
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25024
ID
104100000X
Social Worker
61600816
WA
1041C0700X
Clinical Social Worker
LCSW-25024
ID
Other
Enumeration date
12/18/2006
Last updated
04/24/2025
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