Individual
JACQUELINE LEE WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
315 W PATRICK ST, FREDERICK, MD 21701-4855
(301) 228-2303
(301) 228-2731
Mailing address
315 W PATRICK ST, FREDERICK, MD 21701-4855
(301) 228-2303
(301) 228-2731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13770
MD
Other
Enumeration date
09/12/2015
Last updated
03/22/2018
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