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MATTHEW C LEISURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, CAC, SAP

Contact information

Practice address
3550 CONCORD RD, YORK, PA 17402-8626
(717) 851-6340
(717) 851-6349
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3026
(717) 851-1405
(717) 851-6349

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW013624
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01099202
CAPITAL BLUE CROSS
PA
01
2055191
CIGNA BEHAVIORAL HEALTH
PA
01
273437000
MAGELLAN
PA
01
294505
MAMSI
PA
01
453317
VALUE OPTIONS
PA
01
612348
BC/BS OF MD CARE FIRST
PA
Enumeration date
06/11/2006
Last updated
07/21/2016
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