Audra Duren
Social Worker Clinical Social Worker
6415 Stanley Ave
Berwyn
, Illinois 60402-3130
Audra Duren
Social Worker Clinical Social Worker
6415 Stanley Ave
Berwyn
, Illinois 60402-3130
(708) 995-3803
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About
Features
Specialties
- Social Worker
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Audra Duren
- 6415 Stanley Ave
- Berwyn, IL
- Zip : 60402-3130
- Fax : (708) 995-3803
- Phone : (708) 995-3549
Second Address
- Audra Duren
- 6415 Stanley Ave
- Berwyn, IL
- Zip : 60402-3130
- Fax : (708) 995-3803
- Phone : (708) 995-3549
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 104100000X | Social Worker | ||
| Y | 1041C0700X | Clinical Social Worker | 149017592 | IL |
National Provider Identifier
| NPI | 1003248782 |
|---|---|
| Provider Name | Audra Duren |
| First Address | Berwyn, IL 60402-3130 |
| Second Address | Berwyn, IL 60402-3130 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2013 |
| Last Update Date | 11/06/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.