Individual
BOHDAN GREGORY KANICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220
(303) 504-7700
Mailing address
4455 E 12TH AVE, DENVER, CO 80220-2415
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
02/28/2019
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