Individual
REBEKAH LEAR-PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 LISBON ST STE H, LEWISTON, ME 04240-5025
(207) 783-9141
Mailing address
71 US ROUTE 1, SUITE H, SCARBOROUGH, ME 04074-6400
(207) 322-3016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC13644
ME
1041C0700X
Clinical Social Worker
MC12586
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
435855099
PROVIDER ENROLLMENT
ME
Enumeration date
08/25/2010
Last updated
11/01/2023
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