Individual
MRS. ANTONIA G. GRIMOLIZZI-JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1115 N SHOOP AVE, WAUSEON, OH 43567-1857
(419) 335-6122
(419) 318-4157
Mailing address
PO BOX 146, WAUSEON, OH 43567-0146
(419) 335-6122
(419) 318-4157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I.0007266
OH
1041C0700X
Clinical Social Worker
Primary
I7266
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0254416
—
OH
Enumeration date
11/21/2006
Last updated
06/26/2025
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