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1013341221
MATTHEW LEE VELISSARIS
MILWAUKEE, WI
NPI
1013341221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WI 1942-226)
Enumeration Date
2013-08-23
Last Update Date
2014-06-09
Business Address
-- MATTHEW LEE VELISSARIS
4001 W CAPITOL DR
MILWAUKEE, WI 53216-2530
Phone number: 414-759-5193
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Mailing Address
-- MATTHEW LEE VELISSARIS
4929 W FOND DU LAC AVE M
MILWAUKEE, WI 53216-2324
Phone number: 414-871-6122
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