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Organization
FRUIT BELT CONSULTING LLC
Active
Organization
FRUIT BELT CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAYLIE ROTH LCSW (EXECUTIVE DIRECTOR)
(630) 750-2674
Entity
Organization
Contact information
Practice address
14804 OLD GALENA TRL, MOUNT CARROLL, IL 61053-9037
(269) 283-0014
Mailing address
2045 GRAND AVE, STE B #952962, CHICAGO, IL 60612-1577
(269) 283-0014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/22/2025
Last updated
03/22/2025
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