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10 <br /> State of North Carolina ` <br /> Division of Social Services <br /> Contract Application 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 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 : ( )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 Cognty Department of Social Services: <br /> Pn RnxR1R1 <br /> Hillsborough_NC 27278 <br />