Individual
ASHLEY DACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1460 MERIDEN-WATERBURY TURNPIKE, PLANTSVILLE, CT 06479
(203) 733-6228
Mailing address
1460 WILLARD AVE, NEWINGTON, CT 06111-4575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009921
CT
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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