| Church/Organization | |
| Preferred First Name | |
| Street Address | 1295 Webb Mountain Rd |
| City | Boones Mill |
| Postal/Zip Code | 24065 |
| Mobile Phone | |
| Home Phone | |
| Office Phone |
| Membership Credential | |
| Marital Status | Married |
| Length of Marriage | 39 years, 1 month ago |
