Individual
ELIA DOLORES EGGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 S BROADWAY, GREEN BAY, WI 54303-1518
(715) 721-6783
Mailing address
330 S BROADWAY, GREEN BAY, WI 54303-1518
(414) 246-2300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WI
171M00000X
Case Manager/Care Coordinator
Primary
—
WI
Other
Enumeration date
06/02/2026
Last updated
06/15/2026
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