Individual
MOLLY J MCEACHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
234 ENTRANOSA RD, EDGEWOOD, NM 87015-9112
(505) 226-5311
Mailing address
234 ENTRANOSA RD, EDGEWOOD, NM 87015-9112
(505) 226-5311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2022-0390
NM
Other
Enumeration date
03/22/2007
Last updated
07/17/2025
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