BRYAN KEVIN GANNON

LAKEWOOD, CO
NPI1558415059
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CO  551)
Enumeration Date2007-01-22
Last Update Date2007-07-08
Business Address
-- BRYAN KEVIN GANNON LCSW
7290 W 14TH AVE
LAKEWOOD, CO 80214-4725
Phone number: 303-232-8047
Mailing Address
-- BRYAN KEVIN GANNON LCSW
4851 INDEPENDENCE ST SUITE 200
WHEAT RIDGE, CO 80033-6715
Phone number: 410-432-5400