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18th child born to Jim-Bob and Michelle Duggar and the only child to have four names. Her middle name is Makiya. She first appeared on the 19 Kids and Counting in the episode titled "And Baby Makes 18." Her immediate younger sibling is Josie Duggar. She, John-David, and Joy-Anna are the only Duggar children with hyphenated first names. Her immediate older brother is Jackson Duggar. [+]