| Church/Organization | |
| Preferred First Name | |
| Street Address | 650 N Robin Way |
| City | Satellite Beach |
| Postal/Zip Code | 32937-3432 |
| Website | |
| Home Phone |
| Membership Credential | |
| Mailing List | Yes |
| Marital Status | Married |
| Length of Marriage | 14 years, 10 months ago |
