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Organization

VETERANS HEALTH ADMINISTRATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATIENCE RENEE LAND LICSW (CLINICAL SOCIAL WORKER)
(304) 926-6001
Entity
Organization

Contact information

Practice address
104 ALEX LN, CHARLESTON, WV 25304-2952
(304) 926-6001
(304) 429-0287
Mailing address
104 ALEX LN, CHARLESTON, WV 25304-2952
(304) 926-6001
(304) 429-0287

Taxonomy

Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
DP00942744
WV

Other

Enumeration date
09/23/2010
Last updated
09/23/2010
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