Individual
MRS. ANDREA LUCAS FOUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
2910 FLEETWOOD AVE SW, ROANOKE, VA 24015-4626
(540) 989-6360
(540) 989-6360
Mailing address
6065 CHAGALL DR, ROANOKE, VA 24018-5289
(540) 725-8429
(540) 989-6360
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
VA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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