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1265493167
JACKIE M COLAIZY
NEW BRIGHTON, MN
NPI
1265493167
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Former Name
JACKIE M WILM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 1727)
Enumeration Date
2006-03-30
Last Update Date
2016-04-13
Business Address
-- JACKIE M COLAIZY LICSW
1900 SILVER LAKE ROAD NW SUITE 110
NEW BRIGHTON, MN 55112
Phone number: 651-628-9566
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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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