NPIRadar

Jackie M Colaizy, LICSW Valid NPI

Individual provider · Clinical Social Worker · New Brighton, MN

NPI
1265493167
Type
Individual (Type 1)
Primary specialty
Clinical Social Worker (Social Worker)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
1041C0700X
License number
1727 (MN)
Sex
Female
Sole proprietor
No
Enumerated
2006-03-30
Last updated
2016-04-13
Practice location
1900 Silver Lake Road Nw, Suite 110
New Brighton, MN 55112
(651) 628-9566

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