Organization
AGEWISE DE LLC
Active
Organization
AGEWISE DE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA DICKOL LCSW (CLINICAL SOCIAL WORKER)
(912) 266-0289
Entity
Organization
Contact information
Practice address
2313 CONCORD PIKE, WILMINGTON, DE 19803-2911
(912) 266-0289
Mailing address
1817 N LINCOLN ST, WILMINGTON, DE 19806-2311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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