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State of North Carolina <br />Division of Social Services <br />Contract Application <br />Page 2 of 7 <br />E. Contract Identification: <br />1. Provider <br />a. Name of Contract Administrator: Winnie Morgan <br />Tel. # : (919) 732-1524 <br />b. Name of Pro~am Contact Person: same as above <br />Tel. #: <br />c. Program Name, Location and Mailing Address: Morgan and Associates <br />d. Additional Service Delivery Sites: <br />e. Status : ()Public ()Private, non-profit <br />( )Private, for Profit (X) Individual <br />f. Provider Contract ID #: <br />2. County Department of Social Services <br />a. Name of Contract Administrator: Nancy Coston <br />Tel. # : (919) 732-8181 <br />b. Name of Services Program Contact Person: Gwendolyn Price <br />Tel. #: (919) 732-8181 <br />c. Address of County Department of Social Services: <br />Hillsboro~~h. NC 27278 <br />8 <br />