Individual
DEBORAH JONES HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LMSW
Contact information
Practice address
410 ORCHARD PARK, RIDGELAND, MS 39157-5135
(601) 957-0727
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356549083
NPI ON SITE THERAPY ASSOC
MS
Enumeration date
01/29/2007
Last updated
07/09/2007
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