Individual
MATTHEW RYAN LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Contact information
Practice address
474 MAIN ST, SPRINGVALE, ME 04083-1409
(207) 324-1500
Mailing address
20 ROCKY RIDGE RD, ALFRED, ME 04002-3467
(207) 749-9830
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC22723
ME
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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