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Organization

THE GROWING TREE COUNSELING & WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AUDRA A EGGUM MSW, LCSW (OWNER, PSYCHOTHERAPIST)
(920) 582-4000
Entity
Organization

Contact information

Practice address
140 W MAIN ST STE A, WINNECONNE, WI 54986-9409
(920) 582-4000
Mailing address
140 W MAIN ST, PO BOX 486, WINNECONNE, WI 54986-9409
(920) 582-4000

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
06/29/2010
Last updated
06/29/2010
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