Individual
KASEY SUE ELLIS-VAN LIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 19TH ST NE, WATERTOWN, SD 57201-2823
(605) 886-0123
(605) 886-5447
Mailing address
123 19TH ST NE, WATERTOWN, SD 57201-2823
(605) 886-0123
(605) 886-5447
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R032566
SD
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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