Most Relevant Information
Provider Data
| NPI Number: | 1003248782 |
| Provider Name: | AUDRA DUREN L.C.S.W. |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/05/2013 |
| Last Updated: | 06/11/2015 |
Provider Practice Location
6415 STANLEY AVE
BERWYN
IL
604023130
Practice Location Phone/Fax
| Phone: | 7089953549 |
| Fax: | 7089953803 |
Provider Mailing Location
6415 STANLEY AVE
BERWYN
IL
604023130
Provider Mailing Phone/Fax
| Phone: | 7089953549 |
| Fax: | 7089953803 |