Individual
COLLEEN ANN COLBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
3929 AVONDALE ST, MINNETONKA, MN 55345-1804
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10147
MN
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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