Organization
ON SITE THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH J HOLT PH.D, L.M.S.W. (OWNER)
(601) 713-2194
Entity
Organization
Contact information
Practice address
1070 BUCKLEY DR, JACKSON, MS 39206-6110
(601) 713-2194
(601) 366-8167
Mailing address
1070 BUCKLEY DR, JACKSON, MS 39206-6110
(601) 713-2194
(601) 366-8167
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M2598
MS
Other
Enumeration date
07/03/2007
Last updated
08/22/2020
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