Provider Demographics
NPI:1467116517
Name:KUSI, AFRIYIE
Entity Type:Individual
Prefix:
First Name:AFRIYIE
Middle Name:
Last Name:KUSI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:472 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4132
Mailing Address - Country:US
Mailing Address - Phone:857-266-8189
Mailing Address - Fax:
Practice Address - Street 1:472 NORTH ST
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-4132
Practice Address - Country:US
Practice Address - Phone:857-266-8189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health