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MR. GARRY WAYNE GIBSON LSCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1295849685

Individual Registrant:
MR. GARRY WAYNE GIBSON LSCSW
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

Contact information for business:
PO BOX 146  LARNED, KS 67550-0146 US
Tel: 620-285-7335  Fax: --

Registration Information:
NPI: 1295849685
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
KSLSCSW 264

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS KS - Page 1



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