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1558415059
BRYAN KEVIN GANNON
LAKEWOOD, CO
NPI
1558415059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 551)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
-- BRYAN KEVIN GANNON LCSW
7290 W 14TH AVE
LAKEWOOD, CO 80214-4725
Phone number: 303-232-8047
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Mailing Address
-- BRYAN KEVIN GANNON LCSW
4851 INDEPENDENCE ST SUITE 200
WHEAT RIDGE, CO 80033-6715
Phone number: 410-432-5400
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