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to <br />State of North Carolina <br />Division of Social Services <br />Contract Application <br />Page 2 of <br />E. Contract Identification: <br />1, Provider <br />a, Name of Contract Administrator: Winnie Morgan <br />Tel, # : (919) 732-1524 <br />b. Name of Program 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 : OPublic OPrivate, non-profit <br />( )Private, for Profit (X) Individual <br />f.. Provider Contract ID #: <br />2, Count~Department of Social Services <br />a. Name of Contract Administrator: Nancy Coston <br />Tel. # : X919) 732.8181 <br />b. Name of Services Program Contact Person: Gwendolyn Price <br />Tel.#:(919)732-8181 <br />c. Address of Count~partment of Social Services: <br />Hillsborough, NC 27278 <br />