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MR. GARRY WAYNE GIBSON LSCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1295849685
Individual Registrant:MR. GARRY WAYNE GIBSON LSCSW
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
610 E GRANT AVE GREENSBURG, KS 67054-2708 US
Tel: 620-723-2272 Fax: 620-723-3450
Tel: 620-723-2272 Fax: 620-723-3450
Contact information for business:
PO BOX 146 LARNED, KS 67550-0146 US
Tel: 620-285-7335 Fax: --
Tel: 620-285-7335 Fax: --
Registration Information:
NPI: 1295849685
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | KS | LSCSW 264 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
