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Individual

CANDACE L PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20970
MS
2084P0800X
Psychiatry Physician
46644
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
650002100
MN
Enumeration date
12/08/2006
Last updated
04/16/2026
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