JACKIE M COLAIZY

NEW BRIGHTON, MN
NPI1265493167
Former NameJACKIE M WILM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MN  1727)
Enumeration Date2006-03-30
Last Update Date2016-04-13
Business Address
JACKIE M COLAIZY LICSW
1900 SILVER LAKE ROAD NW SUITE 110
NEW BRIGHTON, MN 55112
Phone number: 651-628-9566
Mailing Address
JACKIE M COLAIZY LICSW
1900 SILVER LAKE ROAD NW SUITE 110
NEW BRIGHTON, MN 55112
Phone number: 651-379-1718
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