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1. Interior of Cow Barn, Second Hospital for the Insane, Roane County, W. Va.

View of the Second Hospital for the Insane. Charles A. Barlow, M. D., Superintendent. This institution is located at Spencer, Roane County, and is reached by the Baltimore and Ohio Railroad. Number of patients July 1, 1914 was 539.

2. Second Hospital for the Insane at Spencer, Roane County, W. Va.