Individual
IANA G SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 BURNET AVENUE, ML 3014, CINCINNATI, OH 45229-3026
(513) 636-4788
(513) 636-4283
Mailing address
3333 BURNET AVENUE, ML 3014, CINCINNATI, OH 45229-3026
(513) 636-4788
(513) 636-4283
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.2103049
OH
Other
Enumeration date
11/17/2017
Last updated
03/10/2022
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