MISS Shakaya Douglas, BA

NPI #1447705611 in Wolcott, Connecticut

Provider Information

NPI Number: 1447705611
Entity Type: Individual
Name: MISS Shakaya Douglas, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: BA
Enumeration Date: Aug 17, 2016
Last Updated: Aug 17, 2016

Practice Location

Address: 24 SPINDLE HILL RD
Address 2: WELLMORE INC VALLIANT HOUSE
City: Wolcott
State: Connecticut
ZIP Code: 06716-1722
Phone: (203) 879-5533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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