Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUDRA A EGGUM, LCSW
Active Sole ProprietorAUDRA A EGGUM, LCSW is a Clinical Social Worker healthcare provider located in WINNECONNE, Wisconsin. NPI 1457566689 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WINNECONNE, WI
Registration Details
- NPI Number
- 1457566689
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2007 (19.237255722573 yrs)
- Last Updated
- Jan 25, 2011
- Licenses
-
1556-121 (WI)7281-123 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
140 W MAIN STSUITE AWINNECONNE, WI, 549869409Browse WI providers · Browse ZIP 54986
- Phone
- 9205824000
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.