Individual
DR. FELISHA TRANNA JACKSON ILYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD-CI, LMSW, BS
Contact information
Practice address
3333 BURNET AVENUE, CINCINNATI, OH 45229
(513) 636-4200
Mailing address
3333 BURNET AVENUE, CINCINNATI, OH 45229
(513) 636-4200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1002121
OH
Other
Enumeration date
12/12/2017
Last updated
12/16/2022
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