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1164100236
SHAQUETTA O DACOSTA
MANCHESTER, CT
NPI
1164100236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 007739)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
SHAQUETTA O DACOSTA
642 HILLIARD ST STE 1310
MANCHESTER, CT 06042-2700
Phone number: 203-909-1509
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Mailing Address
SHAQUETTA O DACOSTA
642 HILLIARD ST STE 1310
MANCHESTER, CT 06042-2700
Phone number:
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