MEDICARE: MR. GARY POST MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041S0200X	School Social Worker	SCHOOL SOCIAL WORKER	WY

General Provider Information

NPI Number	:	1477815132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GARY POST MSW

Provider Business Mailing Address
First Line	:	PO BOX 240
Second Line	:
City	:	WILSON
State	:	WY
Zip	:	83014-0240
Country	:	US
Telephone Number	:	307-733-8210
Fax Number	:	307-733-8462

Provider Business Practice Location Address
First Line	:	3850 N. WILDERNESS DR.
Second Line	:
City	:	JACKSON
State	:	WY
Zip	:	83001
Country	:	US
Telephone Number	:	307-733-8210
Fax Number	:	307-733-8462

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2012
Last Update Date	:	06/08/2012

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