Individual
COLLIN M KOSIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCSW-1289
Contact information
Practice address
3207 SPARKS RD STE 200, CHEYENNE, WY 82001-6152
(307) 369-4710
(307) 222-0279
Mailing address
3207 SPARKS RD STE 200, CHEYENNE, WY 82001-6152
(307) 369-4710
(307) 222-0279
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1289
WY
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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