Individual
STACY BREANN FOOCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3170 MAPLELEAF DR APT 203, LEXINGTON, KY 40509-2613
(740) 208-0466
Mailing address
3170 MAPLELEAF DR APT 203, LEXINGTON, KY 40509-2613
(740) 208-0466
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
201227983
KY
103TS0200X
School Psychologist
OH3285639
OH
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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