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Organization
TIERRA LUZ COMMUNITY PRACTICE, LICENSE CLINICAL SOCIAL WORKER, A PROFESSIONAL CORPORATION
Active
Organization
TIERRA LUZ COMMUNITY PRACTICE, LICENSE CLINICAL SOCIAL WORKER, A PROFESSIONAL CORPORATION
Active
Other names
Tierra Luz Community Practice
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN JUDITH BACA LEANOS LCSW (CHIEF OPERATING OFFICER)
(661) 510-2423
Entity
Organization
Contact information
Practice address
721 S A ST STE C, OXNARD, CA 93030-7179
(805) 767-9788
Mailing address
PO BOX 93, OXNARD, CA 93032-0093
(805) 767-9788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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