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Individual

JASON GREGORY HOLDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
TLLP

Contact information

Practice address
1505 WATERFORD PKWY, SAINT JOHNS, MI 48879-9630
(989) 292-3572
Mailing address
1505 WATERFORD PKWY, SAINT JOHNS, MI 48879-9630
(989) 292-3572

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362010254
MI

Other

Enumeration date
10/15/2025
Last updated
10/15/2025
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