Audra A Eggum, LCSW

NPI #1457566689 in Winneconne, Wisconsin

Provider Information

NPI Number: 1457566689
Entity Type: Individual
Name: Audra A Eggum, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 11, 2007
Last Updated: Jan 25, 2011

Practice Location

Address: 140 W MAIN ST
Address 2: SUITE A
City: Winneconne
State: Wisconsin
ZIP Code: 54986-9409
Phone: (920) 582-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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