Individual
KELLY DURON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 W COLUMBIA ST, FARMINGTON, MO 63640-2902
(573) 218-6120
Mailing address
252 TREELINE DR, FARMINGTON, MO 63640-7838
(713) 501-3225
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2014004443
MO
103TC0700X
Clinical Psychologist
37258
TX
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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