Individual
KAYLA EGGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, SUD SPECIALTY
Contact information
Practice address
49 KESSEL CT, MADISON, WI 53711-6275
(608) 280-2700
Mailing address
25 KESSEL CT, STE 105, MADISON, WI 53711-6227
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
129713-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639581374
—
WI
Enumeration date
05/29/2014
Last updated
08/26/2016
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