Individual
MRS. TANYA M KOLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 PHILLIPS PL, CHEYENNE, WY 82009
(307) 431-2519
Mailing address
1195 ILLINOIS AVE, SHERIDAN, WY 82801
(307) 655-5089
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/28/2011
Last updated
09/05/2018
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