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Individual
CANDICE JAMES
Active
Individual
CANDICE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, BHRS
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746580-F
—
OK
Enumeration date
10/04/2012
Last updated
10/04/2012
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