IndividualActive
Audrey Duross, LCSW
NPI 1467641480 · Clinical Social Worker · Park City, UT
Provider details
- NPI number
- 1467641480
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 6727018-3502 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2720 Homestead Rd Ste 40
Park City, UT 84098-4885
Phone: (801) 910-7193
Approximate (ZIP-level) locationGet directions
Mailing address
275 Lower Evergreen Dr
Park City, UT 84098-5254
Registry dates
- Enumerated
- 2007-10-16
- Last updated
- 2021-12-07
- Certified
- 2021-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.