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