Individual
MR. GARRY WAYNE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
610 E GRANT AVE, GREENSBURG, KS 67054-2708
(620) 723-2272
(620) 723-3450
Mailing address
PO BOX 146, LARNED, KS 67550-0146
(620) 285-7335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 264
KS
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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