Provider Demographics
NPI:1376580910
Name:PASMORE, DONNA CLARK (MSW; LCSW)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:CLARK
Last Name:PASMORE
Suffix:
Gender:F
Credentials:MSW; LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8025
Mailing Address - Street 2:JONESBORO
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72403-8025
Mailing Address - Country:US
Mailing Address - Phone:870-368-4882
Mailing Address - Fax:870-368-4880
Practice Address - Street 1:211 BLANCHARD AVE
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:AR
Practice Address - Zip Code:72560-8869
Practice Address - Country:US
Practice Address - Phone:870-269-8100
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1317-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical