Individual
COLLEEN M KOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1503
(414) 773-4312
(262) 896-6139
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1845
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100008659
—
WI
Enumeration date
02/23/2010
Last updated
10/09/2023
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