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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 />777n Rnrkhnarrl llrivP, T-Tillchnrnngh, NC` ~7~7R <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 />Teh #: (919) 732-8181 <br />c. Address of Cormty Department of Social Services: <br />Hillsborough. NC 27278 <br />