Provider Demographics
NPI:1710118021
Name:MUNSON, LESLIE A (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:A
Last Name:MUNSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3837 SILVER SPUR DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-5130
Mailing Address - Country:US
Mailing Address - Phone:717-840-3732
Mailing Address - Fax:717-600-8055
Practice Address - Street 1:3837 SILVER SPUR DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-5130
Practice Address - Country:US
Practice Address - Phone:717-840-3732
Practice Address - Fax:717-600-8055
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0163521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical