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If I had a kid right now and named her just Lettie, she would go to school with kids named just Ellie, just Katie and just Alfie.

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However, I would prefer it as a nickname to give her more options.

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Lettie Rachel
Lettie Frances
Lettie Sarah
Lettie Katherine
Lettie Elizabeth
Lettie Iris
Lettie Claire / Clare
Lettie Ruth
Lettie Charlotte
Lettie Madeleine
Lettie Beatrice
Lettie Evelyn
Lettie Cassandra

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Like any?