MATTHEW LEE VELISSARIS

MILWAUKEE, WI
NPI1013341221
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WI  1942-226)
Enumeration Date2013-08-23
Last Update Date2014-06-09
Business Address
-- MATTHEW LEE VELISSARIS
4001 W CAPITOL DR
MILWAUKEE, WI 53216-2530
Phone number: 414-759-5193
Mailing Address
-- MATTHEW LEE VELISSARIS
4929 W FOND DU LAC AVE M
MILWAUKEE, WI 53216-2324
Phone number: 414-871-6122