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Individual

MR. KEITH FOSTER HOPWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA LSW

Contact information

Practice address
971 HARRISON AVE, YOUTH HEALTH SERVICES, ELKINS, WV 26241
(304) 636-9450
(304) 636-7059
Mailing address
971 HARRISON AVE, ELKINS, WV 26241
(304) 636-9450

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AP00942561

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0023397001
WV
Enumeration date
05/16/2007
Last updated
07/08/2007
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