JACKIE COLAIZY, LICSW
Social Worker - Clinical
Active
Individual
NPI: 1265493167
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 1727 (MN) |
Frequently Asked Questions
NPI 1265493167 is the National Provider Identifier for JACKIE COLAIZY, LICSW, a Social Worker - Clinical provider located in New Brighton, MN. This NPI was enumerated on March 30, 2006.
JACKIE COLAIZY, LICSW practices at 1900 SILVER LAKE ROAD NW, SUITE 110, New Brighton, MN 55112.
Quick Facts
- NPI
- 1265493167
- Type
- Individual
- Enumerated
- Mar 30, 2006
- Last Updated
- Apr 13, 2016
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