# MS. MARY VIRGINIA CARROLL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1609148378
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WL0100X | Lactation Consultant (Registered Nurse) | RN665125 | PA | Yes |
| 374J00000X | Doula | 23999 | PA | — |
| 374J00000X | Doula | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2012
- **Last updated:** 07/17/2026