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Unfortunately I cannot tell anything from this photo yet :/
Any other symptoms? Heavy breathing? Loss of appetite? Scratching? Hiding from light or being cryptic? Flashing? Swimming in to powerheads?
Is it "flashing" or trying to scratch or bite itself? If it is Ich, here's a great link on another member with a starry blenny with suspect dots.
https://www.reef2reef.com/threads/starry-blenny-flashing-ich-help.222683/
Hope this helps.