| Doctor Name: | AUDRA A EGGUM |
| NPI Number: | 1457566689 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 1556-121 |
| Business Practice Address: | 140 W Main St Suite A Winneconne, WI - 549869409 |
| Business Phone Number: | 9205824000 |
| Business Fax Number: | |
| Mailing Address: | Po Box 486, 140 W Main WINNECONNE |
| State: | WI |
| Postal Code: | 549860486 |
| Phone Number: | 9205824000 |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 01/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1556-121 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |