Individual
DIANA CUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15 SAUNDERS WAY, WESTBROOK, ME 04092-4833
(207) 878-9663
Mailing address
901 WASHINGTON AVE STE 100, PORTLAND, ME 04103-2842
(207) 871-1200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC17042
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740340132
—
ME
Enumeration date
01/11/2016
Last updated
10/14/2025
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