Personal Info
| Preferred First Name | |
| Street Address | 104 Oak St |
| City | Cochranton |
| Postal/Zip Code | 16314 |
| Mobile Phone | |
| Home Phone | |
| Office Phone |
General Membership Info
| Membership Credential | |
| Mailing List | Yes |
| Marital Status | Divorced |
| Length of Marriage | 25 years, 2 months ago |
Chaplaincy Info
| Endorsement | ELE |
| Chaplain Status | |
| Place of Chaplaincy | Nursing Home |