Individual
COLLEEN EUNGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
PO BOX 1780, EDGEWOOD, NM 87015-1780
(505) 431-3822
Mailing address
PO BOX 1780, EDGEWOOD, NM 87015-1780
(505) 431-3822
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
SWB-2025-0275
NM
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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