Individual
JENNIFER NICOLE WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12111 NE 1ST ST, BELLEVUE, WA 98005-3181
(425) 456-7800
Mailing address
14844 SE 22ND ST, BELLEVUE, WA 98007-6336
(425) 456-7800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
03/27/2024
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