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General NPI Number Information
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NPI Number | 1699605287
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Entity Type | Organization
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Legal Business Name | CANDACE CLARRY COUNSELING, LLC
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Dates
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Enumeration Date | 05/23/2026
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Last Update Date | 05/23/2026
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Provider Practice Location Address
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Address Line | 400 N MAIN ST
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City | SEVEN MILE
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State | OH
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Zip | 45062-5000
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Country | US
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Telephone | 760-402-1822
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Fax |
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Provider Business Mailing Address
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Address Line | 400 N MAIN ST
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City | SEVEN MILE
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State | OH
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Zip | 45062-5000
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LISW
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Name | CANDACE MARY CLARRY
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Credential | CLARRY
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Telephone | 760-402-1822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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