Provider Demographics
NPI:1285125047
Name:WILLIAMS-PRADES, DARLENE (DBA(ABD), MBA, CLC)
Entity type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:
Last Name:WILLIAMS-PRADES
Suffix:
Gender:F
Credentials:DBA(ABD), MBA, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9808 FARM POND RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-6001
Mailing Address - Country:US
Mailing Address - Phone:301-267-4195
Mailing Address - Fax:
Practice Address - Street 1:9400 LIVINGSTON RD STE 400
Practice Address - Street 2:
Practice Address - City:FT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744
Practice Address - Country:US
Practice Address - Phone:240-509-0991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-28
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist