Individual
JANICE J PETRIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
(307) 638-8256
Mailing address
PO BOX 1005, CHEYENNE, WY 82003-1005
(307) 634-9653
(307) 638-8256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
111787
MA
1041C0700X
Clinical Social Worker
152633
CO
1041C0700X
Clinical Social Worker
Primary
466
WY
Other
Enumeration date
12/01/2005
Last updated
07/08/2007
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