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Individual
CANDANCE PURCELL
Active
Individual
CANDANCE PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4788
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
531
AK
AK
01
—
C-4788
STATE OF NEW MEXICO REGULATION & LICENSING DEPARTMENT
NM
Enumeration date
05/09/2011
Last updated
08/07/2015
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