Individual
DELIA MELISSA KOOLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 KENTUCKY AVE N STE 201, CRYSTAL, MN 55428-3394
(763) 568-7223
Mailing address
1117 7TH ST SE APT 206, MINNEAPOLIS, MN 55414-1454
(763) 248-4338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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