| Pamela Christine Wirth, | |
| 
					62 Coachlight Dr, Millstadt, IL 62260-1802  | |
| (618) 476-3887 | |
| (618) 476-9128 | 
| Full Name | Pamela Christine Wirth | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 62 Coachlight Dr, Millstadt, Illinois | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336167402 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pamela Christine Wirth, 62 Coachlight Dr, Millstadt, IL 62260-1802 Ph: (618) 476-3887  | Pamela Christine Wirth, 62 Coachlight Dr, Millstadt, IL 62260-1802 Ph: (618) 476-3887  | 
Ms. Jennifer Ann Hampsten, MAED, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Deanewood Dr, Millstadt, IL 62260 Phone: 618-530-3791  | |
Dr. Jean M Hasenstab, PHD, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 101 Benham Dr, Millstadt, IL 62260 Phone: 618-920-1598  |