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Organization
LOUIS A. JOHNSON VA MEDICAL CENTER
Active
Organization
LOUIS A. JOHNSON VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE RENEE ELSTER PSY.D. (PSYCHOLOGIST)
(304) 623-3461
Entity
Organization
Contact information
Practice address
1 MED CENTER DR, CLARKSBURG, WV 26301-4155
(304) 623-3461
Mailing address
243 CHERRY ST, MORGANTOWN, WV 26501-6113
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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