Jackie M Colaizy, LICSW
NPI #1265493167 in New Brighton, Minnesota
Provider Information
- NPI Number
- 1265493167
- Entity Type
- Individual
- Name
- Jackie M Colaizy, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Mar 30, 2006
- Last Updated
- Apr 13, 2016
Practice Location
- Address
- 1900 SILVER LAKE ROAD NW
- Address 2
- SUITE 110
- City
- New Brighton
- State
- Minnesota
- ZIP Code
- 55112
- Phone
- (651) 628-9566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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