Individual
AUDREY MULLIKEN DUROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2720 HOMESTEAD RD STE 40, PARK CITY, UT 84098-4885
(801) 910-7193
Mailing address
275 LOWER EVERGREEN DR, PARK CITY, UT 84098-5254
(801) 910-7193
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6727018-3502
UT
Other
Enumeration date
10/16/2007
Last updated
12/07/2021
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