Shaquetta Dacosta

NPI 1164100236 · on the registry since 2023

Practice

Address: 642 Hilliard St Ste 1310
Manchester, CT 06042
Phone: (203) 909-1509
Organisation at this address: Katie Burdick, Llc
Hold Up A Light, Llc
Lucas Matlock Dc Llc
Jeannie Dilworth, Llc
T.R.U.E. Self Counseling
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 25

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: CT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut