Individual
JACQUELINE WHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 W MAIN ST, FAIRBORN, OH 45324-5037
(937) 281-4673
Mailing address
100 CROWNE POINT PL, CINCINNATI, OH 45241-5427
(513) 743-7628
(513) 493-1579
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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